Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.48 / $128.03 / $163.07	Facility	26	$116.48	$128.03	$163.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $280.70 / $399.52	Professional		$269.73	$280.70	$399.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.70 / $97.12 / $145.47	Professional	26	$86.70	$97.12	$145.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.62 / $174.58 / $254.04	Professional	TC	$151.62	$174.58	$254.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.47 / $191.47 / $267.64	Professional		$191.47	$191.47	$267.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $70.34 / $70.34	Professional	26	$70.34	$70.34	$70.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $383.61 / $383.61	Professional		$383.61	$383.61	$383.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $347.04 / $513.66	Professional		$230.20	$347.04	$513.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.82 / $125.66 / $193.00	Professional	26	$84.82	$125.66	$193.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.24 / $216.55 / $331.52	Professional	TC	$148.24	$216.55	$331.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.51 / $192.51 / $366.35	Facility	26	$192.51	$192.51	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $352.84 / $2,380.40	Professional		$239.27	$352.84	$2,380.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.34 / $131.33 / $520.19	Professional	26	$87.34	$131.33	$520.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.93 / $219.52 / $982.86	Professional	TC	$151.93	$219.52	$982.86
United Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $329.62 / $429.35	Professional		$239.27	$329.62	$429.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.34 / $124.22 / $212.84	Professional	26	$87.34	$124.22	$212.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.55 / $205.66 / $273.63	Professional	TC	$151.55	$205.66	$273.63