Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $112.20 / $245.47	Facility	26	$83.18	$112.20	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $398.11	Professional		$173.78	$251.19	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $134.90	Professional	26	$51.29	$69.18	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $177.83 / $309.03	Professional	TC	$123.03	$177.83	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $138.04	Professional		$128.82	$131.83	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $43.65 / $93.33	Professional	26	$39.81	$43.65	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $562.34	Professional		$151.36	$316.23	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $125.89	Professional	26	$46.77	$79.43	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $234.42 / $426.58	Professional	TC	$117.49	$234.42	$426.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $501.19 / $501.19	Facility	26	$389.05	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $1,949.84	Professional		$223.87	$346.74	$1,949.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $562.34	Professional	26	$57.54	$81.28	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $275.42 / $1,548.82	Professional	TC	$165.96	$275.42	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $436.52	Professional		$223.87	$309.03	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $69.18 / $114.82	Professional	26	$57.54	$69.18	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $229.09 / $331.13	Professional	TC	$162.18	$229.09	$331.13