Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $363.08 / $707.95	Facility	26	$251.19	$363.08	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $707.95	Professional		$389.05	$489.78	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $239.88 / $380.19	Professional	26	$186.21	$239.88	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $263.03 / $371.54	Professional	TC	$199.53	$263.03	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $512.86	Professional		$363.08	$363.08	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $239.88 / $295.12	Professional	26	$169.82	$239.88	$295.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	TC	$186.21	$186.21	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $758.58	Professional		$363.08	$363.08	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $891.25	Professional		$416.87	$630.96	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $275.42 / $389.05	Professional	26	$194.98	$275.42	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $316.23 / $478.63	Professional	TC	$229.09	$316.23	$478.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $2,884.03	Professional		$478.63	$616.60	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $295.12 / $1,412.54	Professional	26	$229.09	$295.12	$1,412.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $316.23 / $1,479.11	Professional	TC	$257.04	$316.23	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $812.83	Professional		$478.63	$588.84	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $281.84 / $371.54	Professional	26	$229.09	$281.84	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $309.03 / $436.52	Professional	TC	$257.04	$309.03	$436.52