Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.64 / $84.89 / $118.99	Facility	26	$60.64	$84.89	$118.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $205.97 / $242.21	Professional		$199.79	$205.97	$242.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.21 / $50.53 / $62.22	Professional	26	$49.21	$50.53	$62.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.26 / $153.88 / $179.99	Professional	TC	$149.26	$153.88	$179.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.41 / $55.41 / $55.41	Professional	26	$55.41	$55.41	$55.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.18 / $342.18 / $342.18	Professional		$342.18	$342.18	$342.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $304.61 / $406.33	Professional		$185.37	$304.61	$406.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.07 / $69.29 / $98.61	Professional	26	$44.07	$69.29	$98.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.49 / $222.85 / $297.13	Professional	TC	$138.49	$222.85	$297.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.98 / $234.66 / $234.66	Facility	26	$122.98	$234.66	$234.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.19 / $295.45 / $1,374.92	Professional		$233.19	$295.45	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $71.15 / $330.16	Professional	26	$56.70	$71.15	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $176.49 / $224.31 / $1,044.76	Professional	TC	$176.49	$224.31	$1,044.76
United Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $257.73 / $437.82	Professional		$228.03	$257.73	$437.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $62.66 / $108.19	Professional	26	$56.35	$62.66	$108.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.68 / $206.02 / $332.03	Professional	TC	$171.68	$206.02	$332.03