Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $154.88 / $338.84	Facility	26	$144.54	$154.88	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $645.65	Professional		$275.42	$426.58	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $173.78	Professional	26	$70.79	$112.20	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $302.00 / $489.78	Professional	TC	$204.17	$302.00	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $758.58	Professional		$223.87	$446.68	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $158.49	Professional	26	$58.88	$93.33	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $338.84 / $645.65	Professional	TC	$181.97	$338.84	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $660.69 / $660.69	Facility	26	$501.19	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $2,884.03	Professional		$302.00	$512.86	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $97.72 / $549.54	Professional	26	$67.61	$97.72	$549.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $416.87 / $2,511.89	Professional	TC	$229.09	$416.87	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $616.60	Professional		$302.00	$467.74	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $83.18 / $138.04	Professional	26	$67.61	$83.18	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $354.81 / $501.19	Professional	TC	$229.09	$354.81	$501.19