Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $162.18 / $162.18	Facility	26	$141.25	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $602.56	Professional		$218.78	$316.23	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $100.00 / $239.88	Professional	26	$77.62	$100.00	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $288.40	Professional	TC	$138.04	$173.78	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $457.09	Professional		$186.21	$199.53	$457.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $131.83	Professional	26	$70.79	$91.20	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $537.03	Professional		$213.80	$331.13	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $194.98	Professional	26	$83.18	$120.23	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $208.93 / $354.81	Professional	TC	$151.36	$208.93	$354.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $363.08	Facility	26	$190.55	$190.55	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $2,398.83	Professional		$234.42	$338.84	$2,398.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $524.81	Professional	26	$87.10	$125.89	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $208.93 / $977.24	Professional	TC	$144.54	$208.93	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $416.87	Professional		$234.42	$302.00	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $158.49	Professional	26	$87.10	$117.49	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $186.21 / $263.03	Professional	TC	$144.54	$186.21	$263.03