Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.62 / $134.28 / $167.32	Facility	26	$98.62	$134.28	$167.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $490.82 / $605.32	Professional		$342.85	$490.82	$605.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $90.01 / $113.45	Professional	26	$68.56	$90.01	$113.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $400.81 / $491.87	Professional	TC	$274.27	$400.81	$491.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.20 / $54.20 / $54.20	Professional	26	$54.20	$54.20	$54.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.23 / $621.23 / $621.23	Professional		$621.23	$621.23	$621.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.91 / $428.51 / $734.29	Professional		$332.91	$428.51	$734.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $112.02 / $139.91	Professional	26	$66.34	$112.02	$139.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.22 / $477.00 / $609.82	Professional	TC	$266.22	$477.00	$609.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.90 / $173.90 / $173.90	Facility	26	$173.90	$173.90	$173.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $500.19 / $2,692.02	Professional		$365.52	$500.19	$2,692.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.68 / $93.45 / $462.06	Professional	26	$78.68	$93.45	$462.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $283.13 / $391.11 / $2,230.02	Professional	TC	$283.13	$391.11	$2,230.02
United Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $461.71 / $736.80	Professional		$365.52	$461.71	$736.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.75 / $86.55 / $140.38	Professional	26	$74.75	$86.55	$140.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $283.13 / $370.37 / $610.91	Professional	TC	$283.13	$370.37	$610.91