Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.52 / $76.19 / $114.04	Facility	26	$61.52	$76.19	$114.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.36 / $399.29 / $534.17	Professional		$300.36	$399.29	$534.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.30 / $71.05 / $105.34	Professional	26	$50.30	$71.05	$105.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.06 / $326.62 / $455.53	Professional	TC	$250.06	$326.62	$455.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.54 / $430.43 / $462.13	Professional		$298.54	$430.43	$462.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.38 / $69.86 / $83.83	Professional	26	$59.38	$69.86	$83.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $436.10 / $598.83	Professional		$94.11	$436.10	$598.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.81 / $414.36 / $673.90	Professional		$362.81	$414.36	$673.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.51 / $73.29 / $113.60	Professional	26	$66.51	$73.29	$113.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $291.30 / $339.86 / $540.29	Professional	TC	$291.30	$339.86	$540.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $178.45 / $337.57 / $337.57	Facility	26	$178.45	$337.57	$337.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.51 / $499.10 / $951.43	Professional		$398.51	$499.10	$951.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.13 / $82.31 / $196.61	Professional	26	$66.13	$82.31	$196.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $323.07 / $409.40 / $982.18	Professional	TC	$323.07	$409.40	$982.18
United Facility/Professional Professional Modifier Low / Median / High Price $387.74 / $484.68 / $895.23	Professional		$387.74	$484.68	$895.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.67 / $87.31 / $133.72	Professional	26	$64.67	$87.31	$133.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.07 / $403.84 / $611.02	Professional	TC	$323.07	$403.84	$611.02