Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.56 / $94.31 / $140.96	Facility	26	$75.56	$94.31	$140.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.55 / $425.52 / $574.64	Professional		$407.55	$425.52	$574.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $73.12 / $94.32	Professional	26	$67.62	$73.12	$94.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $334.78 / $350.65 / $409.75	Professional	TC	$334.78	$350.65	$409.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $299.14 / $486.11	Professional		$299.14	$299.14	$486.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $55.75 / $117.45	Professional	26	$55.75	$55.75	$117.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.00 / $854.00 / $854.00	Professional		$854.00	$854.00	$854.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $667.00 / $839.45	Professional		$403.44	$667.00	$839.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.12 / $110.23 / $137.24	Professional	26	$68.12	$110.23	$137.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.32 / $550.42 / $701.05	Professional	TC	$335.32	$550.42	$701.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $178.45 / $178.45 / $178.45	Facility	26	$178.45	$178.45	$178.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.68 / $671.80 / $2,898.56	Professional		$484.68	$671.80	$2,898.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.84 / $112.12 / $479.37	Professional	26	$80.84	$112.12	$479.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $403.84 / $543.05 / $2,419.25	Professional	TC	$403.84	$543.05	$2,419.25
United Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $607.10 / $904.26	Professional		$460.45	$607.10	$904.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.97 / $107.96 / $183.81	Professional	26	$79.97	$107.96	$183.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $387.35 / $496.58 / $749.52	Professional	TC	$387.35	$496.58	$749.52