Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $158.49 / $338.84	Facility	26	$144.54	$158.49	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $851.14	Professional		$338.84	$478.63	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $131.83 / $245.47	Professional	26	$70.79	$131.83	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $371.54 / $707.95	Professional	TC	$263.03	$371.54	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $74.13	Professional	26	$51.29	$61.66	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $602.56 / $1,380.38	Professional		$275.42	$602.56	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $107.15 / $204.17	Professional	26	$61.66	$107.15	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $501.19 / $1,148.15	Professional	TC	$239.88	$501.19	$1,148.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $660.69	Facility	26	$512.86	$512.86	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $891.25 / $5,370.32	Professional		$363.08	$891.25	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $104.71 / $812.83	Professional	26	$74.13	$104.71	$812.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $776.25 / $4,897.79	Professional	TC	$295.12	$776.25	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,122.02	Professional		$363.08	$602.56	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $128.82	Professional	26	$74.13	$87.10	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $457.09 / $912.01	Professional	TC	$288.40	$457.09	$912.01