Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.57 / $154.86 / $168.47	Facility	26	$98.57	$154.86	$168.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $426.07 / $595.77	Professional		$250.00	$426.07	$595.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $128.53 / $169.20	Professional	26	$62.50	$128.53	$169.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $426.57	Professional	TC	$187.50	$335.00	$426.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.91 / $83.84 / $128.10	Professional	26	$75.91	$83.84	$128.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $272.29 / $272.29 / $272.29	Professional	TC	$272.29	$272.29	$272.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $352.45 / $483.96	Professional		$106.94	$352.45	$483.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.53 / $98.53 / $158.86	Facility	26	$98.53	$98.53	$158.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.17 / $558.70 / $920.97	Professional		$292.17	$558.70	$920.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.71 / $100.39 / $169.08	Professional	26	$87.71	$100.39	$169.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.07 / $404.64 / $782.08	Professional	TC	$201.07	$404.64	$782.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $742.64 / $950.80 / $950.80	Facility	26	$742.64	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $344.12 / $502.34 / $5,981.06	Professional		$344.12	$502.34	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.30 / $115.48 / $883.52	Professional	26	$87.30	$115.48	$883.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.99 / $490.43 / $5,438.76	Professional	TC	$248.99	$490.43	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $344.12 / $441.86 / $1,048.99	Professional		$344.12	$441.86	$1,048.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.30 / $107.28 / $170.35	Professional	26	$87.30	$107.28	$170.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.99 / $336.51 / $946.56	Professional	TC	$248.99	$336.51	$946.56