Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.06 / $130.81 / $190.73	Facility	26	$66.06	$130.81	$190.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $329.43 / $1,700.00	Professional		$267.32	$329.43	$1,700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $54.12 / $253.00	Professional	26	$43.47	$54.12	$253.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $271.02 / $669.42	Professional	TC	$223.84	$271.02	$669.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.31 / $270.27 / $305.52	Professional		$255.31	$270.27	$305.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $361.30 / $1,750.07	Professional		$270.98	$361.30	$1,750.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $47.12 / $228.24	Professional	26	$35.34	$47.12	$228.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.64 / $314.18 / $1,521.83	Professional	TC	$235.64	$314.18	$1,521.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $440.14 / $696.45	Professional		$268.79	$440.14	$696.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.07 / $62.50 / $101.53	Professional	26	$40.07	$62.50	$101.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.72 / $375.30 / $594.15	Professional	TC	$228.72	$375.30	$594.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.48 / $216.00 / $216.00	Facility	26	$112.48	$216.00	$216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $307.68 / $2,116.12	Professional		$259.29	$307.68	$2,116.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.55 / $47.13 / $350.03	Professional	26	$41.55	$47.13	$350.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $217.74 / $264.16 / $1,817.68	Professional	TC	$217.74	$264.16	$1,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $304.00 / $579.60	Professional		$259.29	$304.00	$579.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.55 / $44.15 / $93.20	Professional	26	$41.55	$44.15	$93.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.74 / $260.39 / $561.21	Professional	TC	$217.74	$260.39	$561.21