Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.07 / $341.27 / $426.56	Facility	26	$141.07	$341.27	$426.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $351.89 / $627.50	Professional		$293.74	$351.89	$627.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $102.65 / $192.97	Professional	26	$89.57	$102.65	$192.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $251.50 / $426.90	Professional	TC	$204.15	$251.50	$426.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.26 / $79.26 / $79.26	Professional	26	$79.26	$79.26	$79.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.41 / $363.50 / $724.72	Professional		$354.41	$363.50	$724.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.88 / $107.57 / $214.46	Professional	26	$104.88	$107.57	$214.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.53 / $255.93 / $510.26	Professional	TC	$249.53	$255.93	$510.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $395.07 / $622.04	Professional		$288.52	$395.07	$622.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.15 / $128.91 / $197.05	Professional	26	$86.15	$128.91	$197.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.37 / $278.93 / $424.99	Professional	TC	$202.37	$278.93	$424.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $240.70 / $469.26 / $469.26	Facility	26	$240.70	$469.26	$469.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.87 / $429.01 / $2,193.48	Professional		$351.87	$429.01	$2,193.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $108.78 / $133.00 / $640.52	Professional	26	$108.78	$133.00	$640.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $244.65 / $294.16 / $1,552.95	Professional	TC	$244.65	$294.16	$1,552.95
United Facility/Professional Professional Modifier Low / Median / High Price $345.16 / $429.01 / $629.37	Professional		$345.16	$429.01	$629.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.30 / $132.63 / $194.56	Professional	26	$108.30	$132.63	$194.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.65 / $294.16 / $434.81	Professional	TC	$244.65	$294.16	$434.81