Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.68 / $52.69 / $82.30	Facility	26	$52.68	$52.69	$82.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $342.88 / $438.95	Professional		$302.81	$342.88	$438.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.33 / $54.05 / $76.78	Professional	26	$51.33	$54.05	$76.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $253.23 / $289.08 / $376.24	Professional	TC	$253.23	$289.08	$376.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.58 / $399.43 / $716.18	Professional		$267.58	$399.43	$716.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.94 / $61.86 / $106.27	Professional	26	$47.94	$61.86	$106.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $286.95 / $338.60 / $338.60	Professional	TC	$286.95	$338.60	$338.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $345.80 / $474.83	Professional		$55.65	$345.80	$474.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.95 / $410.77 / $557.19	Professional		$236.95	$410.77	$557.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.68 / $74.13 / $90.24	Professional	26	$50.68	$74.13	$90.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $359.95 / $466.94	Professional	TC	$190.00	$359.95	$466.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $251.32 / $251.32	Facility	26	$128.97	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $390.31 / $2,452.27	Professional		$252.00	$390.31	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $65.41 / $354.09	Professional	26	$50.31	$65.41	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $193.66 / $312.52 / $2,098.17	Professional	TC	$193.66	$312.52	$2,098.17
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $353.13 / $613.34	Professional		$252.00	$353.13	$613.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.36 / $62.15 / $103.18	Professional	26	$47.36	$62.15	$103.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.45 / $290.64 / $560.29	Professional	TC	$189.45	$290.64	$560.29