Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.15 / $52.35 / $96.12	Facility	26	$42.15	$52.35	$96.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $394.68 / $462.46	Professional		$377.40	$394.68	$462.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $40.52 / $53.39	Professional	26	$36.71	$40.52	$53.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $336.95 / $352.91 / $412.40	Professional	TC	$336.95	$352.91	$412.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $636.12 / $636.12 / $636.12	Professional		$636.12	$636.12	$636.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $31.12 / $31.19	Professional	26	$31.12	$31.12	$31.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.00 / $704.00 / $704.00	Professional		$704.00	$704.00	$704.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $655.20 / $789.08	Professional		$381.02	$655.20	$789.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $62.00 / $79.09	Professional	26	$38.61	$62.00	$79.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.37 / $590.17 / $705.56	Professional	TC	$342.37	$590.17	$705.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $99.49 / $99.49 / $99.49	Facility	26	$99.49	$99.49	$99.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.26 / $560.07 / $2,679.53	Professional		$457.26	$560.07	$2,679.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $54.22 / $266.22	Professional	26	$44.52	$54.22	$266.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $411.43 / $489.51 / $2,413.31	Professional	TC	$411.43	$489.51	$2,413.31
United Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $502.99 / $851.26	Professional		$434.40	$502.99	$851.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $48.96 / $75.52	Professional	26	$43.54	$48.96	$75.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $394.60 / $459.71 / $705.09	Professional	TC	$394.60	$459.71	$705.09