Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.60 / $137.31 / $203.00	Facility	26	$115.60	$137.31	$203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.48 / $341.78 / $438.26	Professional		$260.48	$341.78	$438.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $110.19 / $138.18	Professional	26	$82.39	$110.19	$138.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $254.31 / $317.89	Professional	TC	$171.62	$254.31	$317.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.04 / $66.36 / $103.19	Professional	26	$66.04	$66.36	$103.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.51 / $534.51 / $534.51	Professional		$534.51	$534.51	$534.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.49 / $508.82 / $777.00	Professional		$270.49	$508.82	$777.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.17 / $116.72 / $168.22	Professional	26	$76.17	$116.72	$168.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.42 / $386.55 / $621.00	Professional	TC	$215.42	$386.55	$621.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $649.67 / $833.76 / $833.76	Facility	26	$649.67	$833.76	$833.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.74 / $543.74 / $2,878.66	Professional		$372.74	$543.74	$2,878.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.78 / $131.03 / $561.99	Professional	26	$86.78	$131.03	$561.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $271.33 / $421.77 / $2,400.63	Professional	TC	$271.33	$421.77	$2,400.63
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $494.25 / $679.26	Professional		$360.90	$494.25	$679.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.78 / $112.76 / $166.51	Professional	26	$86.78	$112.76	$166.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.89 / $383.81 / $552.16	Professional	TC	$264.89	$383.81	$552.16