Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $151.36 / $630.96	Facility	26	$85.11	$151.36	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $204.17	Professional		$100.00	$134.90	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $263.03	Professional	26	$79.43	$104.71	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $89.13	Professional	TC	$19.05	$30.90	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $229.09	Professional		$107.15	$109.65	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $109.65 / $173.78	Professional	26	$81.28	$109.65	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $173.78	Professional		$107.15	$141.25	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $489.78	Professional		$128.82	$194.98	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $102.33 / $173.78	Professional	26	$95.50	$102.33	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $74.13 / $181.97	Professional	TC	$28.84	$74.13	$181.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $724.44 / $724.44	Facility	26	$251.19	$724.44	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $3,019.95	Professional		$117.49	$181.97	$3,019.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $120.23 / $1,047.13	Professional	26	$91.20	$120.23	$1,047.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $2,511.89	Professional	TC	$21.88	$38.90	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $446.68	Professional		$114.82	$158.49	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $114.82 / $165.96	Professional	26	$89.13	$114.82	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $323.59	Professional	TC	$21.38	$32.36	$323.59