Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.86 / $210.48 / $326.08	Facility	26	$182.86	$210.48	$326.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.56 / $427.44 / $517.91	Professional		$301.56	$427.44	$517.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $145.84 / $208.24 / $243.25	Professional	26	$145.84	$208.24	$243.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.72 / $225.27 / $297.79	Professional	TC	$155.72	$225.27	$297.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $596.08 / $596.08 / $596.08	Professional		$596.08	$596.08	$596.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $168.77 / $248.94 / $358.09	Professional	26	$168.77	$248.94	$358.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $441.70 / $606.52	Professional		$237.47	$441.70	$606.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.40 / $440.63 / $687.18	Professional		$389.40	$440.63	$687.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $189.95 / $212.30 / $333.52	Professional	26	$189.95	$212.30	$333.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.45 / $230.06 / $372.32	Professional	TC	$199.45	$230.06	$372.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,030.91 / $1,030.91	Facility	26	$528.44	$1,030.91	$1,030.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $422.71 / $557.89 / $2,895.04	Professional		$422.71	$557.89	$2,895.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $192.91 / $255.66 / $1,405.16	Professional	26	$192.91	$255.66	$1,405.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $219.86 / $291.38 / $1,489.88	Professional	TC	$219.86	$291.38	$1,489.88
United Facility/Professional Professional Modifier Low / Median / High Price $412.77 / $561.34 / $755.66	Professional		$412.77	$561.34	$755.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $191.51 / $250.28 / $320.79	Professional	26	$191.51	$250.28	$320.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.24 / $279.66 / $397.34	Professional	TC	$218.24	$279.66	$397.34