Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $134.90 / $275.42	Facility	26	$120.23	$134.90	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $602.56	Professional		$223.87	$407.38	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $123.03 / $165.96	Professional	26	$57.54	$123.03	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $295.12 / $478.63	Professional	TC	$162.18	$295.12	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $97.72	Professional	26	$41.69	$66.07	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $741.31	Professional		$181.97	$398.11	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $151.36	Professional	26	$47.86	$77.62	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $331.13 / $645.65	Professional	TC	$147.91	$331.13	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $524.81	Facility	26	$416.87	$416.87	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $537.03 / $2,951.21	Professional		$239.88	$537.03	$2,951.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $501.19	Professional	26	$53.70	$74.13	$501.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $457.09 / $2,630.27	Professional	TC	$181.97	$457.09	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $616.60	Professional		$239.88	$398.11	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $102.33	Professional	26	$53.70	$64.57	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $281.84 / $537.03	Professional	TC	$181.97	$281.84	$537.03