Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.92 / $102.29 / $154.94	Facility	26	$86.92	$102.29	$154.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $131.12 / $197.12	Professional		$86.14	$131.12	$197.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $98.70 / $106.47	Professional	26	$69.84	$98.70	$106.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $30.77 / $100.62	Professional	TC	$16.30	$30.77	$100.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.21 / $187.21 / $225.74	Professional		$187.21	$187.21	$225.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.04 / $118.06 / $169.82	Professional	26	$80.04	$118.06	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $150.02 / $174.46	Professional		$121.21	$150.02	$174.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $166.07 / $290.49	Professional		$123.00	$166.07	$290.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.49 / $101.13 / $159.69	Professional	26	$90.49	$101.13	$159.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $47.96 / $127.79	Professional	TC	$21.86	$47.96	$127.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $250.54 / $722.52 / $722.52	Facility	26	$250.54	$722.52	$722.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $180.13 / $3,014.42	Professional		$119.00	$180.13	$3,014.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.18 / $124.59 / $1,056.82	Professional	26	$94.18	$124.59	$1,056.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.60 / $39.47 / $2,488.46	Professional	TC	$22.60	$39.47	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $161.52 / $446.23	Professional		$116.26	$161.52	$446.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.24 / $116.34 / $166.20	Professional	26	$91.24	$116.34	$166.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $32.99 / $321.64	Professional	TC	$21.56	$32.99	$321.64