Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.56 / $89.44 / $138.09	Facility	26	$76.56	$89.44	$138.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $268.27 / $314.94	Professional		$176.24	$268.27	$314.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.24 / $76.58 / $111.62	Professional	26	$58.24	$76.58	$111.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.13 / $175.49 / $226.80	Professional	TC	$116.13	$175.49	$226.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $145.83 / $145.83	Professional		$145.83	$145.83	$145.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $46.83 / $63.95	Professional	26	$44.49	$46.83	$63.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.79 / $378.79 / $378.79	Professional		$378.79	$378.79	$378.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $286.19 / $543.00	Professional		$145.66	$286.19	$543.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.76 / $85.96 / $125.00	Professional	26	$50.76	$85.96	$125.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.52 / $191.51 / $418.00	Professional	TC	$104.52	$191.51	$418.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $565.04 / $565.04	Facility	26	$436.88	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $330.07 / $1,897.57	Professional		$200.93	$330.07	$1,897.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.77 / $88.64 / $435.88	Professional	26	$57.77	$88.64	$435.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $132.33 / $267.07 / $1,600.00	Professional	TC	$132.33	$267.07	$1,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $298.27 / $407.00	Professional		$194.16	$298.27	$407.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.77 / $77.08 / $112.72	Professional	26	$57.77	$77.08	$112.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.19 / $193.80 / $314.44	Professional	TC	$129.19	$193.80	$314.44