Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $169.82 / $331.13	Facility	26	$117.49	$169.82	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $616.60	Professional		$363.08	$426.58	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $169.82	Professional	26	$85.11	$109.65	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $323.59 / $478.63	Professional	TC	$269.15	$323.59	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $107.15 / $117.49	Professional	26	$81.28	$107.15	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $602.56	Professional		$147.91	$147.91	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $812.83	Professional		$371.54	$549.54	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $125.89 / $186.21	Professional	26	$91.20	$125.89	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $389.05 / $602.56	Professional	TC	$281.84	$389.05	$602.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $2,691.53	Professional		$446.68	$562.34	$2,691.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $138.04 / $660.69	Professional	26	$107.15	$138.04	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $416.87 / $1,995.26	Professional	TC	$338.84	$416.87	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $758.58	Professional		$446.68	$524.81	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $128.82 / $173.78	Professional	26	$107.15	$128.82	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $398.11 / $575.44	Professional	TC	$338.84	$398.11	$575.44