Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $93.33 / $128.82	Facility	26	$72.44	$93.33	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $645.65	Professional		$338.84	$426.58	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $125.89	Professional	26	$51.29	$60.26	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $371.54 / $562.34	Professional	TC	$288.40	$371.54	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $478.63	Professional		$363.08	$407.38	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $61.66 / $75.86	Professional	26	$47.86	$61.66	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,412.54	Professional		$338.84	$575.44	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $177.83	Professional	26	$53.70	$75.86	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $501.19 / $1,230.27	Professional	TC	$323.59	$501.19	$1,230.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $2,884.03	Professional		$239.88	$489.78	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $354.81	Professional	26	$57.54	$74.13	$354.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $446.68 / $2,511.89	Professional	TC	$181.97	$446.68	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $741.31	Professional		$229.09	$457.09	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $70.79 / $100.00	Professional	26	$58.88	$70.79	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $398.11 / $645.65	Professional	TC	$173.78	$398.11	$645.65