Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $199.53 / $416.87	Facility	26	$173.78	$199.53	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $1,023.29	Professional		$354.81	$489.78	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $138.04 / $251.19	Professional	26	$81.28	$138.04	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $371.54 / $758.58	Professional	TC	$263.03	$371.54	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $70.79 / $131.83	Professional	26	$63.10	$70.79	$131.83
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 $288.40 / $630.96 / $1,380.38	Professional		$288.40	$630.96	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $239.88	Professional	26	$72.44	$114.82	$239.88
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 $616.60 / $616.60 / $794.33	Facility	26	$616.60	$616.60	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $5,370.32	Professional		$380.19	$891.25	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $812.83	Professional	26	$81.28	$112.20	$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 $380.19 / $602.56 / $1,122.02	Professional		$380.19	$602.56	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $97.72 / $151.36	Professional	26	$81.28	$97.72	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $457.09 / $933.25	Professional	TC	$288.40	$457.09	$933.25