Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $93.33 / $117.49	Facility	26	$61.66	$93.33	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $812.83	Professional		$338.84	$436.52	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $173.78	Professional	26	$57.54	$74.13	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $346.74 / $478.63	Professional	TC	$281.84	$346.74	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $537.03	Professional		$309.03	$338.84	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $61.66 / $93.33	Professional	26	$56.23	$61.66	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $436.52 / $602.56	Professional		$89.13	$436.52	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $676.08	Professional		$354.81	$426.58	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $74.13 / $114.82	Professional	26	$64.57	$74.13	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $346.74 / $549.54	Professional	TC	$288.40	$346.74	$549.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $338.84 / $338.84	Facility	26	$177.83	$338.84	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $1,071.52	Professional		$389.05	$524.81	$1,071.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $478.63	Professional	26	$64.57	$87.10	$478.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $407.38 / $2,398.83	Professional	TC	$323.59	$407.38	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $724.44	Professional		$389.05	$489.78	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $81.28 / $123.03	Professional	26	$64.57	$81.28	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $407.38 / $602.56	Professional	TC	$323.59	$407.38	$602.56