Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.73 / $126.74 / $188.22	Facility	26	$101.73	$126.74	$188.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.59 / $289.87 / $351.88	Professional		$229.59	$289.87	$351.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.15 / $101.50 / $127.54	Professional	26	$77.15	$101.50	$127.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.74 / $191.62 / $241.18	Professional	TC	$147.74	$191.62	$241.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.80 / $87.40 / $128.47	Professional	26	$60.80	$87.40	$128.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.43 / $386.43 / $386.43	Professional		$386.43	$386.43	$386.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $347.96 / $489.97	Professional		$206.63	$347.96	$489.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.93 / $115.10 / $154.62	Professional	26	$67.93	$115.10	$154.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.96 / $236.96 / $335.35	Professional	TC	$132.96	$236.96	$335.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $595.28 / $768.32 / $768.32	Facility	26	$595.28	$768.32	$768.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.97 / $344.42 / $1,515.48	Professional		$261.97	$344.42	$1,515.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $84.32 / $109.69 / $521.79	Professional	26	$84.32	$109.69	$521.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $168.20 / $235.67 / $993.68	Professional	TC	$168.20	$235.67	$993.68
United Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $326.64 / $488.05	Professional		$252.99	$326.64	$488.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.32 / $101.61 / $159.77	Professional	26	$84.32	$101.61	$159.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.20 / $217.34 / $310.37	Professional	TC	$168.20	$217.34	$310.37