Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $134.90 / $512.86	Facility	26	$87.10	$134.90	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $741.31	Professional		$295.12	$457.09	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $114.82 / $190.55	Professional	26	$77.62	$114.82	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $537.03	Professional	TC	$218.78	$338.84	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $316.23 / $436.52	Professional		$83.18	$316.23	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $128.82	Facility	26	$79.43	$79.43	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $758.58	Professional		$295.12	$489.78	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $144.54	Professional	26	$67.61	$85.11	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $416.87 / $630.96	Professional	TC	$218.78	$416.87	$630.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $588.84 / $758.58 / $758.58	Facility	26	$588.84	$758.58	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $3,388.44	Professional		$309.03	$457.09	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $660.69	Professional	26	$70.79	$93.33	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $416.87 / $2,951.21	Professional	TC	$234.42	$416.87	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $812.83	Professional		$302.00	$407.38	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $125.89	Professional	26	$70.79	$89.13	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $309.03 / $676.08	Professional	TC	$229.09	$309.03	$676.08