Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.25 / $54.57 / $86.35	Facility	26	$39.25	$54.57	$86.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.12 / $230.78 / $421.54	Professional		$177.12	$230.78	$421.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $37.72 / $86.36	Professional	26	$31.53	$37.72	$86.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.44 / $184.00 / $335.18	Professional	TC	$141.44	$184.00	$335.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $132.85 / $139.05	Professional		$132.85	$132.85	$139.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $29.02 / $43.18	Professional	26	$27.64	$29.02	$43.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $105.22 / $170.98 / $170.98	Professional	TC	$105.22	$170.98	$170.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.25 / $283.25 / $283.25	Professional		$283.25	$283.25	$283.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $289.82 / $372.10	Professional		$176.64	$289.82	$372.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $50.43 / $68.31	Professional	26	$36.86	$50.43	$68.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.94 / $238.39 / $320.55	Professional	TC	$146.94	$238.39	$320.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.82 / $87.82 / $210.00	Facility	26	$87.82	$87.82	$210.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $313.08 / $1,582.03	Professional		$203.55	$313.08	$1,582.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.26 / $50.43 / $422.69	Professional	26	$36.26	$50.43	$422.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.77 / $269.27 / $1,414.75	Professional	TC	$162.77	$269.27	$1,414.75
United Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $274.82 / $398.20	Professional		$203.55	$274.82	$398.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.75 / $45.18 / $71.41	Professional	26	$35.75	$45.18	$71.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.77 / $240.83 / $385.40	Professional	TC	$162.77	$240.83	$385.40