Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.70 / $134.51 / $221.33	Facility	26	$110.70	$134.51	$221.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.88 / $796.23 / $962.79	Professional		$785.88	$796.23	$962.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.17 / $93.43 / $115.40	Professional	26	$93.17	$93.43	$115.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $692.71 / $702.80 / $847.40	Professional	TC	$692.71	$702.80	$847.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.45 / $71.45 / $71.45	Professional	26	$71.45	$71.45	$71.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,299.96 / $1,299.96 / $1,299.96	Professional		$1,299.96	$1,299.96	$1,299.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.38 / $1,003.23 / $1,500.84	Professional		$760.38	$1,003.23	$1,500.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.69 / $105.11 / $166.58	Professional	26	$86.69	$105.11	$166.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $679.75 / $898.12 / $1,323.63	Professional	TC	$679.75	$898.12	$1,323.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $229.45 / $229.45 / $229.45	Facility	26	$229.45	$229.45	$229.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.51 / $1,123.07 / $5,628.92	Professional		$923.51	$1,123.07	$5,628.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.13 / $124.30 / $611.21	Professional	26	$104.13	$124.30	$611.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $819.38 / $979.41 / $5,017.71	Professional	TC	$819.38	$979.41	$5,017.71
United Facility/Professional Professional Modifier Low / Median / High Price $907.87 / $1,020.73 / $1,779.74	Professional		$907.87	$1,020.73	$1,779.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.52 / $115.09 / $176.74	Professional	26	$101.52	$115.09	$176.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $819.38 / $914.75 / $1,579.31	Professional	TC	$819.38	$914.75	$1,579.31