Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.79 / $127.76 / $172.51	Facility	26	$105.79	$127.76	$172.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $385.88 / $446.12	Professional		$254.43	$385.88	$446.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $102.69 / $153.61	Professional	26	$75.65	$102.69	$153.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $259.33 / $356.77	Professional	TC	$171.62	$259.33	$356.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $100.19 / $142.55	Professional		$100.19	$100.19	$142.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.17 / $61.31 / $87.94	Professional	26	$61.17	$61.31	$87.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.00 / $551.00 / $551.00	Professional		$551.00	$551.00	$551.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.94 / $449.84 / $824.30	Professional		$230.94	$449.84	$824.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.02 / $117.51 / $155.97	Professional	26	$70.02	$117.51	$155.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.17 / $361.60 / $637.00	Professional	TC	$171.17	$361.60	$637.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $600.40 / $773.84 / $773.84	Facility	26	$600.40	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $574.65 / $3,248.56	Professional		$311.14	$574.65	$3,248.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.98 / $122.13 / $880.00	Professional	26	$79.98	$122.13	$880.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $216.62 / $494.67 / $2,762.21	Professional	TC	$216.62	$494.67	$2,762.21
United Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $455.35 / $654.97	Professional		$300.99	$455.35	$654.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.98 / $103.68 / $154.51	Professional	26	$79.98	$103.68	$154.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.49 / $317.24 / $542.35	Professional	TC	$211.49	$317.24	$542.35