Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.09 / $45.98 / $84.56	Facility	26	$37.09	$45.98	$84.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $289.74 / $350.26	Professional		$251.87	$289.74	$350.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $35.65 / $43.97	Professional	26	$33.17	$35.65	$43.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $254.08 / $306.30	Professional	TC	$218.71	$254.08	$306.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.26 / $209.26 / $483.90	Professional		$209.26	$209.26	$483.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.33 / $27.33 / $27.45	Professional	26	$27.33	$27.33	$27.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $193.30 / $193.30 / $193.30	Professional	TC	$193.30	$193.30	$193.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $383.69 / $383.69	Professional		$383.69	$383.69	$383.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $285.83 / $495.51	Professional		$63.03	$285.83	$495.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $54.59 / $67.77	Professional	26	$33.47	$54.59	$67.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.37 / $286.83 / $485.47	Professional	TC	$217.37	$286.83	$485.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $87.37 / $87.37	Facility	26	$87.37	$87.37	$87.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $353.21 / $2,023.55	Professional		$235.33	$353.21	$2,023.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $47.11 / $267.48	Professional	26	$35.49	$47.11	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $191.83 / $311.27 / $1,789.49	Professional	TC	$191.83	$311.27	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $211.16 / $343.57 / $549.71	Professional		$211.16	$343.57	$549.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.49 / $42.26 / $66.47	Professional	26	$35.49	$42.26	$66.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.84 / $294.75 / $486.19	Professional	TC	$183.84	$294.75	$486.19