Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $190.55 / $416.87	Facility	26	$128.82	$190.55	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $660.69	Professional		$281.84	$426.58	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $208.93	Professional	26	$85.11	$123.03	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $302.00 / $478.63	Professional	TC	$199.53	$302.00	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $933.25	Professional		$229.09	$478.63	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $123.03 / $218.78	Professional	26	$74.13	$123.03	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $331.13 / $707.95	Professional	TC	$177.83	$331.13	$707.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $794.33 / $794.33	Facility	26	$616.60	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $3,467.37	Professional		$309.03	$602.56	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $120.23 / $645.65	Professional	26	$87.10	$120.23	$645.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $501.19 / $3,019.95	Professional	TC	$223.87	$501.19	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $741.31	Professional		$309.03	$512.86	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $100.00 / $169.82	Professional	26	$87.10	$100.00	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $346.74 / $602.56	Professional	TC	$218.78	$346.74	$602.56