Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.40 / $212.05 / $252.65	Facility	26	$129.40	$212.05	$252.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $586.99 / $1,026.27	Professional		$370.50	$586.99	$1,026.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.63 / $157.90 / $252.65	Professional	26	$137.63	$157.90	$252.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $513.51 / $773.62	Professional	TC	$335.00	$513.51	$773.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.13 / $295.13 / $295.13	Professional		$295.13	$295.13	$295.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $98.87 / $118.13	Professional	26	$75.59	$98.87	$118.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.12 / $678.12 / $678.12	Professional		$678.12	$678.12	$678.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.83 / $696.31 / $1,586.00	Professional		$343.83	$696.31	$1,586.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.91 / $136.16 / $192.16	Professional	26	$85.91	$136.16	$192.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $291.92 / $554.27 / $1,408.00	Professional	TC	$291.92	$554.27	$1,408.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $745.12 / $953.92 / $953.92	Facility	26	$745.12	$953.92	$953.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.77 / $887.45 / $5,981.06	Professional		$501.77	$887.45	$5,981.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.59 / $152.07 / $672.78	Professional	26	$97.59	$152.07	$672.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $385.92 / $782.52 / $5,438.76	Professional	TC	$385.92	$782.52	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $827.03 / $1,210.61	Professional		$486.49	$827.03	$1,210.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.59 / $124.35 / $219.75	Professional	26	$97.59	$124.35	$219.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $376.78 / $637.74 / $1,027.29	Professional	TC	$376.78	$637.74	$1,027.29