Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.97 / $81.48 / $125.37	Facility	26	$56.97	$81.48	$125.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $263.98 / $587.84	Professional		$241.20	$263.98	$587.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.93 / $72.70 / $125.38	Professional	26	$52.93	$72.70	$125.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.77 / $204.52 / $462.46	Professional	TC	$169.77	$204.52	$462.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $184.79 / $427.33	Professional		$184.79	$184.79	$427.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $41.39 / $57.57	Professional	26	$40.04	$41.39	$57.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.15 / $358.15 / $358.15	Professional		$358.15	$358.15	$358.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $412.68 / $603.91	Professional		$253.33	$412.68	$603.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $94.02 / $156.21	Professional	26	$53.80	$94.02	$156.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.21 / $328.06 / $488.15	Professional	TC	$202.21	$328.06	$488.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.27 / $127.27 / $377.88	Facility	26	$127.27	$127.27	$377.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $456.63 / $2,362.07	Professional		$282.58	$456.63	$2,362.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.62 / $109.52 / $507.12	Professional	26	$59.62	$109.52	$507.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.75 / $358.68 / $1,854.93	Professional	TC	$223.75	$358.68	$1,854.93
United Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $379.75 / $572.41	Professional		$282.58	$379.75	$572.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.83 / $88.37 / $142.58	Professional	26	$58.83	$88.37	$142.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.75 / $317.29 / $437.19	Professional	TC	$223.75	$317.29	$437.19