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 / $125.19	Facility	26	$70.04	$84.64	$125.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.97 / $233.95 / $283.45	Professional		$168.97	$233.95	$283.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $67.92 / $102.07	Professional	26	$52.85	$67.92	$102.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.20 / $172.56 / $224.62	Professional	TC	$114.20	$172.56	$224.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.56 / $41.60 / $58.31	Professional	26	$40.56	$41.60	$58.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $130.75 / $130.75 / $130.75	Professional	TC	$130.75	$130.75	$130.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $341.00 / $341.00	Professional		$341.00	$341.00	$341.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $282.20 / $529.00	Professional		$139.85	$282.20	$529.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.61 / $78.31 / $144.00	Professional	26	$46.61	$78.31	$144.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.33 / $195.38 / $385.00	Professional	TC	$103.33	$195.38	$385.00
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 $203.34 / $326.60 / $1,638.03	Professional		$203.34	$326.60	$1,638.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.72 / $80.76 / $376.34	Professional	26	$52.72	$80.76	$376.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.84 / $246.02 / $1,335.34	Professional	TC	$140.84	$246.02	$1,335.34
United Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $297.89 / $509.08	Professional		$196.69	$297.89	$509.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.72 / $68.70 / $137.47	Professional	26	$52.72	$68.70	$137.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $206.25 / $299.30	Professional	TC	$137.50	$206.25	$299.30