Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $199.53 / $199.53	Facility	26	$134.90	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $851.14	Professional		$316.23	$436.52	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $186.21	Professional	26	$93.33	$117.49	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $288.40 / $416.87	Professional	TC	$208.93	$288.40	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $380.19	Professional		$251.19	$302.00	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $107.15 / $186.21	Professional	26	$93.33	$107.15	$186.21
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $52.48 / $63.10 / $91.20	Professional	52	$52.48	$63.10	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $354.81 / $501.19	Professional		$141.25	$354.81	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $707.95	Professional		$323.59	$467.74	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $138.04 / $213.80	Professional	26	$97.72	$138.04	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $446.68	Professional	TC	$234.42	$338.84	$446.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $2,691.53	Professional		$331.13	$389.05	$2,691.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $134.90 / $776.25	Professional	26	$104.71	$134.90	$776.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $257.04 / $1,905.46	Professional	TC	$213.80	$257.04	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $575.44	Professional		$331.13	$380.19	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $128.82 / $177.83	Professional	26	$107.15	$128.82	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $251.19 / $398.11	Professional	TC	$208.93	$251.19	$398.11