Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $97.72 / $169.82	Facility	26	$85.11	$97.72	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $676.08	Professional		$389.05	$478.63	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $75.86 / $151.36	Professional	26	$67.61	$75.86	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $371.54 / $562.34	Professional	TC	$323.59	$371.54	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $776.25	Professional		$302.00	$316.23	$776.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $117.49	Professional	26	$56.23	$74.13	$117.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	TC	$257.04	$257.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $851.14	Professional		$407.38	$660.69	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $151.36	Professional	26	$67.61	$95.50	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $457.09 / $707.95	Professional	TC	$338.84	$457.09	$707.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $2,884.03	Professional		$467.74	$630.96	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $478.63	Professional	26	$77.62	$112.20	$478.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $501.19 / $2,398.83	Professional	TC	$389.05	$501.19	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $870.96	Professional		$467.74	$602.56	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $162.18	Professional	26	$77.62	$112.20	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $501.19 / $691.83	Professional	TC	$389.05	$501.19	$691.83