Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $120.23 / $263.03	Facility	26	$85.11	$120.23	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $389.05	Professional		$186.21	$245.47	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $134.90	Professional	26	$52.48	$64.57	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $177.83 / $338.84	Professional	TC	$134.90	$177.83	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	26	$50.12	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $588.84	Professional		$162.18	$346.74	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $75.86 / $123.03	Professional	26	$48.98	$75.86	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $467.74	Professional	TC	$125.89	$251.19	$467.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $537.03 / $537.03	Facility	26	$416.87	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $2,089.30	Professional		$234.42	$380.19	$2,089.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $380.19	Professional	26	$54.95	$81.28	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $323.59 / $1,737.80	Professional	TC	$173.78	$323.59	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $467.74	Professional		$234.42	$346.74	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $104.71	Professional	26	$54.95	$67.61	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $371.54	Professional	TC	$173.78	$251.19	$371.54