Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $213.80 / $870.96	Facility	26	$123.03	$213.80	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $331.13	Professional		$213.80	$269.15	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $151.36 / $512.86	Professional	26	$109.65	$151.36	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $123.03 / $154.88	Professional	TC	$95.50	$123.03	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $245.47	Professional	26	$154.88	$154.88	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $371.54	Professional		$147.91	$269.15	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $407.38	Professional		$245.47	$275.42	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $147.91 / $229.09	Professional	26	$131.83	$147.91	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $120.23 / $186.21	Professional	TC	$109.65	$120.23	$186.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $691.83 / $691.83	Facility	26	$354.81	$691.83	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $575.44	Professional		$234.42	$323.59	$575.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $165.96 / $954.99	Professional	26	$125.89	$165.96	$954.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $147.91 / $831.76	Professional	TC	$109.65	$147.91	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $446.68	Professional		$234.42	$309.03	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $165.96 / $234.42	Professional	26	$125.89	$165.96	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $144.54 / $208.93	Professional	TC	$109.65	$144.54	$208.93