Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.86 / $223.62 / $326.08	Facility	26	$182.86	$223.62	$326.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $448.97 / $609.01	Professional		$307.83	$448.97	$609.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $145.84 / $207.95 / $243.25	Professional	26	$145.84	$207.95	$243.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.99 / $238.39 / $347.18	Professional	TC	$161.99	$238.39	$347.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.76 / $609.01 / $609.01	Professional		$369.76	$609.01	$609.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $168.77 / $248.94 / $358.09	Professional	26	$168.77	$248.94	$358.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $451.15 / $619.49	Professional		$254.30	$451.15	$619.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.26 / $501.50 / $812.88	Professional		$413.26	$501.50	$812.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $189.95 / $212.30 / $335.21	Professional	26	$189.95	$212.30	$335.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.85 / $292.97 / $491.46	Professional	TC	$212.85	$292.97	$491.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,325.34 / $1,325.34	Facility	26	$528.44	$1,325.34	$1,325.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.33 / $597.51 / $7,381.05	Professional		$423.33	$597.51	$7,381.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $197.56 / $267.29 / $1,699.00	Professional	26	$197.56	$267.29	$1,699.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $220.46 / $337.34 / $6,233.93	Professional	TC	$220.46	$337.34	$6,233.93
United Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $571.37 / $1,144.46	Professional		$398.43	$571.37	$1,144.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $191.52 / $237.05 / $295.17	Professional	26	$191.52	$237.05	$295.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.49 / $305.45 / $873.02	Professional	TC	$212.49	$305.45	$873.02