Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $263.03 / $295.12	Facility	26	$213.80	$263.03	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $660.69	Professional		$190.55	$302.00	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $208.93	Professional	26	$51.29	$67.61	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $213.80 / $512.86	Professional	TC	$141.25	$213.80	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $1,096.48	Professional		$229.09	$229.09	$1,096.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $309.03	Professional	26	$63.10	$63.10	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $162.18 / $794.33	Professional	TC	$162.18	$162.18	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $741.31	Professional		$199.53	$346.74	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $117.49	Professional	26	$51.29	$74.13	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $234.42 / $707.95	Professional	TC	$147.91	$234.42	$707.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $575.44 / $575.44	Facility	26	$446.68	$575.44	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $512.86 / $3,388.44	Professional		$194.98	$512.86	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $436.52	Professional	26	$48.98	$57.54	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $371.54 / $3,019.95	Professional	TC	$141.25	$371.54	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $691.83	Professional		$194.98	$331.13	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $54.95 / $107.15	Professional	26	$48.98	$54.95	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $257.04 / $616.60	Professional	TC	$141.25	$257.04	$616.60