Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.64 / $104.79 / $121.29	Facility	26	$86.64	$104.79	$121.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $266.20 / $378.19	Professional		$229.77	$266.20	$378.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $74.61 / $108.32	Professional	26	$70.00	$74.61	$108.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.58 / $185.42 / $269.87	Professional	TC	$159.58	$185.42	$269.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $153.72 / $153.72	Professional		$153.72	$153.72	$153.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.98 / $64.66 / $64.66	Professional	26	$44.98	$64.66	$64.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.93 / $330.93 / $330.93	Professional		$330.93	$330.93	$330.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $304.83 / $435.75	Professional		$216.49	$304.83	$435.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.19 / $93.46 / $129.00	Professional	26	$63.19	$93.46	$129.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.06 / $221.83 / $328.32	Professional	TC	$156.06	$221.83	$328.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $143.07 / $314.00	Facility	26	$143.07	$143.07	$314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $325.79 / $1,442.20	Professional		$237.47	$325.79	$1,442.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $94.48 / $507.29	Professional	26	$65.31	$94.48	$507.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $172.15 / $223.93 / $1,055.58	Professional	TC	$172.15	$223.93	$1,055.58
United Facility/Professional Professional Modifier Low / Median / High Price $230.51 / $284.58 / $412.38	Professional		$230.51	$284.58	$412.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $89.10 / $117.14	Professional	26	$65.31	$89.10	$117.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.40 / $207.57 / $296.39	Professional	TC	$168.40	$207.57	$296.39