Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.16 / $125.35 / $234.27	Facility	26	$122.16	$125.35	$234.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $401.95 / $601.00	Professional		$393.25	$401.95	$601.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $111.09 / $128.22	Professional	26	$90.71	$111.09	$128.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $292.11 / $302.52 / $472.78	Professional	TC	$292.11	$302.52	$472.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.13 / $287.13 / $287.13	Professional		$287.13	$287.13	$287.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.52 / $112.87 / $166.11	Professional	26	$78.52	$112.87	$166.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.08 / $607.08 / $607.08	Professional		$607.08	$607.08	$607.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.68 / $573.62 / $735.23	Professional		$374.68	$573.62	$735.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.77 / $142.36 / $176.45	Professional	26	$90.77	$142.36	$176.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.37 / $431.26 / $559.45	Professional	TC	$281.37	$431.26	$559.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $246.31 / $246.31 / $246.31	Facility	26	$246.31	$246.31	$246.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $555.99 / $2,670.75	Professional		$460.86	$555.99	$2,670.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.35 / $136.84 / $657.16	Professional	26	$109.35	$136.84	$657.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $351.51 / $419.15 / $2,013.59	Professional	TC	$351.51	$419.15	$2,013.59
United Facility/Professional Professional Modifier Low / Median / High Price $445.03 / $555.99 / $882.80	Professional		$445.03	$555.99	$882.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.90 / $135.54 / $185.90	Professional	26	$107.90	$135.54	$185.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $337.13 / $389.64 / $651.72	Professional	TC	$337.13	$389.64	$651.72