Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.36 / $321.29 / $337.95	Facility	26	$177.36	$321.29	$337.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $280.16 / $366.51	Professional		$255.18	$280.16	$366.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $150.81 / $184.82	Professional	26	$131.81	$150.81	$184.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $129.35 / $181.69	Professional	TC	$123.37	$129.35	$181.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $242.10 / $242.10 / $242.10	Professional	26	$242.10	$242.10	$242.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.14 / $403.14 / $403.14	Professional		$403.14	$403.14	$403.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $383.78 / $476.50	Professional		$251.00	$383.78	$476.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.13 / $206.59 / $256.11	Professional	26	$131.13	$206.59	$256.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.57 / $177.00 / $222.23	Professional	TC	$115.57	$177.00	$222.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $357.82 / $357.82 / $357.82	Facility	26	$357.82	$357.82	$357.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $370.60 / $1,788.06	Professional		$295.93	$370.60	$1,788.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $157.35 / $198.61 / $948.42	Professional	26	$157.35	$198.61	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $135.60 / $171.99 / $839.64	Professional	TC	$135.60	$171.99	$839.64
United Facility/Professional Professional Modifier Low / Median / High Price $288.23 / $365.41 / $503.08	Professional		$288.23	$365.41	$503.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $155.28 / $196.71 / $267.50	Professional	26	$155.28	$196.71	$267.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.84 / $171.99 / $261.02	Professional	TC	$133.84	$171.99	$261.02