Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.35 / $83.35 / $148.26	Facility	26	$83.35	$83.35	$148.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $310.31 / $343.25	Professional		$219.67	$310.31	$343.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.20 / $94.65 / $102.65	Professional	26	$66.20	$94.65	$102.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.47 / $215.66 / $241.27	Professional	TC	$153.47	$215.66	$241.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $432.46 / $432.46	Professional		$432.46	$432.46	$432.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.87 / $320.25 / $439.75	Professional		$123.87	$320.25	$439.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.22 / $296.55 / $449.77	Professional		$265.22	$296.55	$449.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.68 / $96.88 / $151.99	Professional	26	$86.68	$96.88	$151.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.54 / $202.22 / $309.20	Professional	TC	$178.54	$202.22	$309.20
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 $291.73 / $379.98 / $713.88	Professional		$291.73	$379.98	$713.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.06 / $116.71 / $640.52	Professional	26	$88.06	$116.71	$640.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $189.69 / $256.10 / $1,552.95	Professional	TC	$189.69	$256.10	$1,552.95
United Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $354.20 / $514.82	Professional		$274.57	$354.20	$514.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.40 / $114.59 / $159.15	Professional	26	$87.40	$114.59	$159.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.69 / $247.37 / $316.70	Professional	TC	$189.69	$247.37	$316.70