Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.53 / $119.96 / $159.49	Facility	26	$80.53	$119.96	$159.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $470.18 / $700.99	Professional		$370.50	$470.18	$700.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.75 / $135.00 / $159.49	Professional	26	$89.75	$135.00	$159.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $311.62 / $365.04 / $541.50	Professional	TC	$311.62	$365.04	$541.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.19 / $226.63 / $226.63	Professional		$217.19	$226.63	$226.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $47.56 / $68.28	Professional	26	$47.50	$47.56	$68.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.75 / $552.75 / $552.75	Professional		$552.75	$552.75	$552.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.34 / $502.31 / $745.00	Professional		$254.34	$502.31	$745.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $84.66 / $121.43	Professional	26	$53.80	$84.66	$121.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.52 / $415.34 / $667.25	Professional	TC	$221.52	$415.34	$667.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $466.08 / $603.28 / $603.28	Facility	26	$466.08	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.12 / $573.39 / $2,819.97	Professional		$369.12	$573.39	$2,819.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $96.01 / $469.00	Professional	26	$60.99	$96.01	$469.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $296.08 / $490.03 / $2,495.53	Professional	TC	$296.08	$490.03	$2,495.53
United Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $517.10 / $677.65	Professional		$358.37	$517.10	$677.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $77.34 / $131.52	Professional	26	$60.99	$77.34	$131.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.08 / $407.21 / $543.39	Professional	TC	$289.08	$407.21	$543.39