Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $123.03 / $141.25	Facility	26	$112.20	$123.03	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $588.84	Professional		$354.81	$426.58	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $91.20 / $194.98	Professional	26	$79.43	$91.20	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $338.84 / $478.63	Professional	TC	$281.84	$338.84	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $549.54	Professional		$446.68	$446.68	$549.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $112.20	Professional	26	$74.13	$89.13	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,348.96	Professional		$331.13	$549.54	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $269.15	Professional	26	$81.28	$114.82	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $446.68 / $1,071.52	Professional	TC	$288.40	$446.68	$1,071.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $2,754.23	Professional		$331.13	$501.19	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $117.49 / $776.25	Professional	26	$89.13	$117.49	$776.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $398.11 / $2,187.76	Professional	TC	$223.87	$398.11	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $724.44	Professional		$316.23	$446.68	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $109.65 / $154.88	Professional	26	$89.13	$109.65	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $346.74 / $575.44	Professional	TC	$213.80	$346.74	$575.44