Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.42 / $213.32 / $776.39	Facility	26	$123.42	$213.32	$776.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $259.82 / $296.83	Professional		$184.17	$259.82	$296.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.17 / $140.59 / $151.16	Professional	26	$99.17	$140.59	$151.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.00 / $123.37 / $141.33	Professional	TC	$85.00	$123.37	$141.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $367.18 / $367.18	Professional		$222.93	$367.18	$367.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $168.80 / $168.80 / $231.46	Professional	26	$168.80	$168.80	$231.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $269.85 / $370.54	Professional		$148.91	$269.85	$370.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $260.32 / $404.78	Professional		$232.92	$260.32	$404.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.58 / $143.71 / $224.52	Professional	26	$128.58	$143.71	$224.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.34 / $115.95 / $180.26	Professional	TC	$104.34	$115.95	$180.26
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 $251.54 / $327.84 / $615.53	Professional		$251.54	$327.84	$615.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $130.60 / $173.09 / $948.42	Professional	26	$130.60	$173.09	$948.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $112.66 / $152.43 / $839.64	Professional	TC	$112.66	$152.43	$839.64
United Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $317.12 / $443.90	Professional		$236.74	$317.12	$443.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $129.63 / $167.52 / $236.03	Professional	26	$129.63	$167.52	$236.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.86 / $152.43 / $210.57	Professional	TC	$110.86	$152.43	$210.57