Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.23 / $123.51 / $193.35	Facility	26	$115.23	$123.51	$193.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $460.21 / $687.58	Professional		$389.98	$460.21	$687.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.23 / $139.07 / $210.68	Professional	26	$115.23	$139.07	$210.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.95 / $321.14 / $476.90	Professional	TC	$269.95	$321.14	$476.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.93 / $62.93 / $62.93	Professional	26	$62.93	$62.93	$62.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $535.00 / $535.00	Professional		$535.00	$535.00	$535.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $465.91 / $931.00	Professional		$231.53	$465.91	$931.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.41 / $121.26 / $159.99	Professional	26	$74.41	$121.26	$159.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.29 / $350.14 / $772.00	Professional	TC	$179.29	$350.14	$772.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $620.48 / $795.36 / $795.36	Facility	26	$620.48	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $607.29 / $3,482.54	Professional		$330.09	$607.29	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.18 / $128.34 / $642.27	Professional	26	$87.18	$128.34	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.29 / $520.12 / $2,996.90	Professional	TC	$234.29	$520.12	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $316.26 / $527.01 / $743.05	Professional		$316.26	$527.01	$743.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.18 / $110.01 / $183.07	Professional	26	$87.18	$110.01	$183.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.81 / $342.98 / $597.62	Professional	TC	$228.81	$342.98	$597.62