Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.78 / $350.25 / $437.79	Facility	26	$144.78	$350.25	$437.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $441.88 / $1,021.35	Professional		$393.25	$441.88	$1,021.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $109.42 / $452.00	Professional	26	$90.71	$109.42	$452.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $323.22 / $743.37	Professional	TC	$302.52	$323.22	$743.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $175.28 / $175.28 / $175.28	Professional	26	$175.28	$175.28	$175.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.24 / $418.70 / $834.79	Professional		$408.24	$418.70	$834.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.25 / $110.00 / $219.31	Professional	26	$107.25	$110.00	$219.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.99 / $308.70 / $615.48	Professional	TC	$300.99	$308.70	$615.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.60 / $557.70 / $828.24	Professional		$344.60	$557.70	$828.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.43 / $132.85 / $200.44	Professional	26	$88.43	$132.85	$200.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.18 / $415.63 / $627.79	Professional	TC	$256.18	$415.63	$627.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $246.31 / $479.89 / $479.89	Facility	26	$246.31	$479.89	$479.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.04 / $571.76 / $2,670.75	Professional		$475.04	$571.76	$2,670.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $112.11 / $136.69 / $657.16	Professional	26	$112.11	$136.69	$657.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $360.38 / $434.39 / $2,013.59	Professional	TC	$360.38	$434.39	$2,013.59
United Facility/Professional Professional Modifier Low / Median / High Price $472.49 / $571.76 / $986.57	Professional		$472.49	$571.76	$986.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.11 / $136.69 / $200.53	Professional	26	$112.11	$136.69	$200.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $360.26 / $434.39 / $644.59	Professional	TC	$360.26	$434.39	$644.59