Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $120.23 / $263.03	Facility	26	$89.13	$120.23	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $354.81	Professional		$162.18	$218.78	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $131.83	Professional	26	$51.29	$69.18	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $144.54 / $281.84	Professional	TC	$112.20	$144.54	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $43.65 / $61.66	Professional	26	$38.90	$43.65	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $501.19	Professional		$141.25	$295.12	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $75.86 / $109.65	Professional	26	$48.98	$75.86	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $199.53 / $380.19	Professional	TC	$102.33	$199.53	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $537.03 / $537.03	Facility	26	$416.87	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $1,862.09	Professional		$199.53	$338.84	$1,862.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $436.52	Professional	26	$54.95	$81.28	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $269.15 / $1,584.89	Professional	TC	$134.90	$269.15	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $416.87	Professional		$199.53	$295.12	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $107.15	Professional	26	$54.95	$67.61	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $199.53 / $316.23	Professional	TC	$134.90	$199.53	$316.23