Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $524.81	Professional		$309.03	$371.54	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $147.91 / $302.00	Professional	26	$114.82	$147.91	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $245.47 / $416.87	Professional	TC	$208.93	$245.47	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $218.78	Professional	26	$64.57	$85.11	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $851.14	Professional		$199.53	$426.58	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $169.82 / $281.84	Professional	26	$74.13	$169.82	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $281.84 / $575.44	Professional	TC	$123.03	$281.84	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $2,754.23	Professional		$257.04	$549.54	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $199.53 / $891.25	Professional	26	$91.20	$199.53	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $354.81 / $1,862.09	Professional	TC	$165.96	$354.81	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $602.56	Professional		$257.04	$416.87	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $151.36 / $213.80	Professional	26	$91.20	$151.36	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $263.03 / $389.05	Professional	TC	$162.18	$263.03	$389.05