Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $175.06 / $258.82	Facility	26	$131.83	$175.06	$258.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.84 / $266.39 / $330.84	Professional		$214.84	$266.39	$330.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.22 / $140.40 / $176.16	Professional	26	$113.22	$140.40	$176.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.62 / $126.01 / $200.83	Professional	TC	$101.62	$126.01	$200.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.15 / $373.15 / $373.15	Professional		$373.15	$373.15	$373.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.72 / $626.72 / $626.72	Professional		$626.72	$626.72	$626.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.41 / $607.53 / $838.11	Professional		$348.41	$607.53	$838.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.87 / $149.91 / $214.63	Professional	26	$93.87	$149.91	$214.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.24 / $437.03 / $622.78	Professional	TC	$253.24	$437.03	$622.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $830.40 / $1,061.59 / $1,061.59	Facility	26	$830.40	$1,061.59	$1,061.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.48 / $562.58 / $1,915.39	Professional		$395.48	$562.58	$1,915.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.92 / $149.66 / $717.76	Professional	26	$109.92	$149.66	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $285.56 / $429.55 / $1,435.54	Professional	TC	$285.56	$429.55	$1,435.54
United Facility/Professional Professional Modifier Low / Median / High Price $395.48 / $533.54 / $824.57	Professional		$395.48	$533.54	$824.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.92 / $134.97 / $211.97	Professional	26	$109.92	$134.97	$211.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.56 / $394.84 / $615.98	Professional	TC	$285.56	$394.84	$615.98