Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.31 / $173.81 / $256.80	Facility	26	$139.31	$173.81	$256.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $358.78 / $548.44	Professional		$283.87	$358.78	$548.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.09 / $139.19 / $174.90	Professional	26	$106.09	$139.19	$174.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $235.21 / $342.60	Professional	TC	$171.62	$235.21	$342.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $543.47 / $543.47 / $543.47	Professional		$543.47	$543.47	$543.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.71 / $83.71 / $120.34	Professional	26	$83.71	$83.71	$120.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.43 / $504.43 / $504.43	Professional		$504.43	$504.43	$504.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $587.63 / $888.96	Professional		$293.95	$587.63	$888.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.36 / $149.18 / $211.58	Professional	26	$93.36	$149.18	$211.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.26 / $394.55 / $656.67	Professional	TC	$195.26	$394.55	$656.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $822.80 / $1,056.00 / $1,056.00	Facility	26	$822.80	$1,056.00	$1,056.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.34 / $657.80 / $2,091.94	Professional		$378.34	$657.80	$2,091.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $115.54 / $149.55 / $711.82	Professional	26	$115.54	$149.55	$711.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $250.64 / $542.26 / $1,773.11	Professional	TC	$250.64	$542.26	$1,773.11
United Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $531.16 / $832.13	Professional		$365.59	$531.16	$832.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $115.54 / $139.29 / $211.02	Professional	26	$115.54	$139.29	$211.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.69 / $362.81 / $627.51	Professional	TC	$244.69	$362.81	$627.51