Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.04 / $84.64 / $124.49	Facility	26	$70.04	$84.64	$124.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.45 / $257.16 / $312.91	Professional		$204.45	$257.16	$312.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $67.92 / $85.17	Professional	26	$50.07	$67.92	$85.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.68 / $189.32 / $227.74	Professional	TC	$149.68	$189.32	$227.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $144.69 / $334.63	Professional		$144.69	$144.69	$334.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.56 / $41.00 / $63.38	Professional	26	$40.56	$41.00	$63.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.07 / $360.07 / $360.07	Professional		$360.07	$360.07	$360.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $321.14 / $479.00	Professional		$168.14	$321.14	$479.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.61 / $78.31 / $103.93	Professional	26	$46.61	$78.31	$103.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.71 / $238.34 / $384.00	Professional	TC	$134.71	$238.34	$384.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $397.76 / $514.88 / $514.88	Facility	26	$397.76	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.27 / $328.65 / $1,627.19	Professional		$233.27	$328.65	$1,627.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $80.76 / $345.18	Professional	26	$52.37	$80.76	$345.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $170.77 / $259.73 / $1,330.47	Professional	TC	$170.77	$259.73	$1,330.47
United Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $297.35 / $417.66	Professional		$225.92	$297.35	$417.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $65.11 / $101.99	Professional	26	$52.37	$65.11	$101.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.73 / $224.18 / $304.72	Professional	TC	$166.73	$224.18	$304.72