Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $87.10 / $218.78	Facility	26	$74.13	$87.10	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $354.81	Professional		$128.82	$169.82	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $61.66 / $123.03	Professional	26	$47.86	$61.66	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $112.20 / $223.87	Professional	TC	$79.43	$112.20	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $123.03	Professional		$102.33	$104.71	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $39.81 / $58.88	Professional	26	$38.02	$39.81	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $436.52	Professional		$112.20	$223.87	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $67.61 / $128.82	Professional	26	$43.65	$67.61	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $147.91 / $281.84	Professional	TC	$75.86	$147.91	$281.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $478.63 / $478.63	Facility	26	$371.54	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $1,584.89	Professional		$147.91	$263.03	$1,584.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $323.59	Professional	26	$48.98	$72.44	$323.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $194.98 / $1,318.26	Professional	TC	$91.20	$194.98	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $338.84	Professional		$147.91	$223.87	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $61.66 / $95.50	Professional	26	$48.98	$61.66	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $138.04 / $239.88	Professional	TC	$91.20	$138.04	$239.88