Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.84 / $465.15 / $631.50	Facility	26	$208.84	$465.15	$631.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $299.02 / $678.21	Professional		$255.18	$299.02	$678.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $159.34 / $533.62	Professional	26	$131.81	$159.34	$533.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $140.84 / $309.80	Professional	TC	$123.37	$140.84	$309.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.75 / $305.75 / $305.75	Professional		$305.75	$305.75	$305.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $303.52 / $605.14	Professional		$295.93	$303.52	$605.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $156.19 / $160.19 / $319.38	Professional	26	$156.19	$160.19	$319.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.74 / $143.33 / $285.76	Professional	TC	$139.74	$143.33	$285.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.48 / $355.03 / $548.29	Professional		$239.48	$355.03	$548.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.37 / $192.02 / $291.00	Professional	26	$128.37	$192.02	$291.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.11 / $169.42 / $257.29	Professional	TC	$111.11	$169.42	$257.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $357.82 / $699.38 / $699.38	Facility	26	$357.82	$699.38	$699.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $369.91 / $1,788.06	Professional		$309.70	$369.91	$1,788.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $161.32 / $197.53 / $948.42	Professional	26	$161.32	$197.53	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $148.97 / $176.75 / $839.64	Professional	TC	$148.97	$176.75	$839.64
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $369.91 / $573.83	Professional		$309.70	$369.91	$573.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $159.99 / $196.69 / $303.13	Professional	26	$159.99	$196.69	$303.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.69 / $173.31 / $270.70	Professional	TC	$159.69	$173.31	$270.70