Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.31 / $226.74 / $285.27	Facility	26	$160.31	$226.74	$285.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $911.79	Professional		$475.00	$522.50	$911.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $169.81 / $302.70	Professional	26	$140.00	$169.81	$302.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $609.09	Professional	TC	$335.00	$368.50	$609.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.53 / $91.55 / $130.13	Professional	26	$90.53	$91.55	$130.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.90 / $844.90 / $844.90	Professional		$844.90	$844.90	$844.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.99 / $616.75 / $1,071.06	Professional		$338.99	$616.75	$1,071.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.45 / $170.10 / $228.45	Professional	26	$104.45	$170.10	$228.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.99 / $427.95 / $766.00	Professional	TC	$231.99	$427.95	$766.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $888.48 / $1,142.00 / $1,142.00	Facility	26	$888.48	$1,142.00	$1,142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.44 / $684.34 / $3,919.13	Professional		$428.44	$684.34	$3,919.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $123.21 / $156.44 / $771.93	Professional	26	$123.21	$156.44	$771.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $296.30 / $555.79 / $3,292.02	Professional	TC	$296.30	$555.79	$3,292.02
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.57 / $855.83	Professional		$426.58	$645.57	$855.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.21 / $150.94 / $247.41	Professional	26	$123.21	$150.94	$247.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.85 / $495.49 / $697.27	Professional	TC	$289.85	$495.49	$697.27