Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $407.38 / $457.09	Facility	26	$234.42	$407.38	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,778.28	Professional		$851.14	$1,096.48	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $316.23 / $524.81	Professional	26	$239.88	$316.23	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $794.33 / $1,230.27	Professional	TC	$602.56	$794.33	$1,230.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $323.59 / $371.54	Professional	26	$251.19	$323.59	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,023.29 / $1,412.54	Professional		$346.74	$1,023.29	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,698.24	Professional		$1,000.00	$1,479.11	$1,698.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $457.09 / $537.03	Professional	26	$295.12	$457.09	$537.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $707.95 / $1,047.13 / $1,174.90	Professional	TC	$707.95	$1,047.13	$1,174.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,137.96 / $2,630.27 / $2,630.27	Facility	26	$2,137.96	$2,630.27	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $6,918.31	Professional		$912.01	$1,230.27	$6,918.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $354.81 / $1,778.28	Professional	26	$251.19	$354.81	$1,778.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $851.14 / $5,128.61	Professional	TC	$630.96	$851.14	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,659.59	Professional		$870.96	$1,148.15	$1,659.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $346.74 / $501.19	Professional	26	$251.19	$346.74	$501.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $831.76 / $1,174.90	Professional	TC	$630.96	$831.76	$1,174.90