Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $97.72 / $275.42	Facility	26	$91.20	$97.72	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $436.52	Professional		$190.55	$263.03	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $141.25	Professional	26	$54.95	$77.62	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $186.21 / $338.84	Professional	TC	$134.90	$186.21	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $331.13	Professional		$147.91	$177.83	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $48.98 / $102.33	Professional	26	$43.65	$48.98	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $616.60	Professional		$165.96	$354.81	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $123.03	Professional	26	$52.48	$83.18	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $251.19 / $467.74	Professional	TC	$128.82	$251.19	$467.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $549.54 / $549.54	Facility	26	$426.58	$549.54	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $2,344.23	Professional		$234.42	$398.11	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $537.03	Professional	26	$63.10	$91.20	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $338.84 / $1,995.26	Professional	TC	$162.18	$338.84	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $501.19	Professional		$234.42	$354.81	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $120.23	Professional	26	$63.10	$75.86	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $245.47 / $389.05	Professional	TC	$165.96	$245.47	$389.05