Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.19 / $148.12 / $197.66	Facility	26	$141.19	$148.12	$197.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $413.29 / $581.39	Professional		$312.81	$413.29	$581.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.87 / $117.66 / $169.28	Professional	26	$105.87	$117.66	$169.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $295.63 / $414.74	Professional	TC	$206.93	$295.63	$414.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $108.05 / $108.05 / $108.05	Professional	26	$108.05	$108.05	$108.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $502.16 / $502.16	Professional		$426.84	$502.16	$502.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $520.00 / $639.29	Professional		$336.55	$520.00	$639.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.02 / $153.00 / $215.60	Professional	26	$100.02	$153.00	$215.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.37 / $358.95 / $444.69	Professional	TC	$210.37	$358.95	$444.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $265.11 / $265.11 / $265.11	Facility	26	$265.11	$265.11	$265.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.91 / $415.77 / $2,698.08	Professional		$341.91	$415.77	$2,698.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.31 / $146.01 / $770.56	Professional	26	$110.31	$146.01	$770.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $214.57 / $287.50 / $1,927.52	Professional	TC	$214.57	$287.50	$1,927.52
United Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $401.80 / $736.37	Professional		$335.60	$401.80	$736.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.99 / $128.27 / $214.69	Professional	26	$108.99	$128.27	$214.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.86 / $277.10 / $509.19	Professional	TC	$208.86	$277.10	$509.19