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 / $269.15	Facility	26	$89.13	$120.23	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $371.54	Professional		$169.82	$223.87	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $134.90	Professional	26	$51.29	$70.79	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $154.88 / $281.84	Professional	TC	$114.82	$154.88	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $64.57	Professional	26	$42.66	$42.66	$64.57
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 / $512.86	Professional		$141.25	$295.12	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $77.62 / $109.65	Professional	26	$48.98	$77.62	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $199.53 / $389.05	Professional	TC	$104.71	$199.53	$389.05
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 / $1,905.46	Professional		$199.53	$338.84	$1,905.46
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 $138.04 / $269.15 / $1,949.84	Professional	TC	$138.04	$269.15	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $416.87	Professional		$199.53	$302.00	$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 $138.04 / $204.17 / $316.23	Professional	TC	$138.04	$204.17	$316.23