Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.03 / $222.55 / $228.22	Facility	26	$119.03	$222.55	$228.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $336.70 / $412.17	Professional		$293.74	$336.70	$412.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $101.21 / $124.52	Professional	26	$89.57	$101.21	$124.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $235.49 / $287.64	Professional	TC	$204.15	$235.49	$287.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $110.34 / $110.34 / $162.43	Professional	26	$110.34	$110.34	$162.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.41 / $461.41 / $461.41	Professional		$461.41	$461.41	$461.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $432.13 / $572.16	Professional		$282.33	$432.13	$572.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.03 / $139.62 / $173.23	Professional	26	$88.03	$139.62	$173.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.81 / $292.51 / $402.00	Professional	TC	$190.81	$292.51	$402.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $240.70 / $240.70 / $240.70	Facility	26	$240.70	$240.70	$240.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.77 / $418.38 / $2,193.48	Professional		$338.77	$418.38	$2,193.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $106.10 / $134.35 / $640.52	Professional	26	$106.10	$134.35	$640.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $231.98 / $284.02 / $1,552.95	Professional	TC	$231.98	$284.02	$1,552.95
United Facility/Professional Professional Modifier Low / Median / High Price $332.13 / $411.45 / $646.47	Professional		$332.13	$411.45	$646.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.70 / $128.33 / $207.69	Professional	26	$104.70	$128.33	$207.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.99 / $284.02 / $473.14	Professional	TC	$229.99	$284.02	$473.14