Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.56 / $89.44 / $138.09	Facility	26	$76.56	$89.44	$138.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $303.77 / $366.46	Professional		$231.73	$303.77	$366.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.91 / $74.53 / $111.62	Professional	26	$57.91	$74.53	$111.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $248.90 / $302.50	Professional	TC	$171.62	$248.90	$302.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $44.49 / $63.95	Professional	26	$44.49	$44.49	$63.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.26 / $416.26 / $416.26	Professional		$416.26	$416.26	$416.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $355.06 / $567.00	Professional		$190.07	$355.06	$567.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.76 / $84.00 / $140.00	Professional	26	$50.76	$84.00	$140.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.88 / $267.60 / $430.07	Professional	TC	$144.88	$267.60	$430.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $565.04 / $565.04	Facility	26	$436.88	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $372.05 / $1,846.75	Professional		$259.33	$372.05	$1,846.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $89.11 / $444.14	Professional	26	$58.11	$89.11	$444.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.37 / $279.70 / $2,104.00	Professional	TC	$190.37	$279.70	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $336.27 / $454.69	Professional		$251.18	$336.27	$454.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $78.89 / $151.66	Professional	26	$58.11	$78.89	$151.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $267.26 / $346.29	Professional	TC	$185.86	$267.26	$346.29