Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.81 / $99.94 / $139.91	Facility	26	$93.81	$99.94	$139.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $416.19 / $946.40	Professional		$339.18	$416.19	$946.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.80 / $90.76 / $192.80	Professional	26	$77.80	$90.76	$192.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $261.80 / $332.91 / $753.60	Professional	TC	$261.80	$332.91	$753.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $491.56 / $491.56	Professional		$491.56	$491.56	$491.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.47 / $89.47 / $117.29	Professional	26	$89.47	$89.47	$117.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.47 / $569.47 / $569.47	Professional		$569.47	$569.47	$569.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.01 / $631.59 / $1,352.62	Professional		$333.01	$631.59	$1,352.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.17 / $131.11 / $270.64	Professional	26	$84.17	$131.11	$270.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $290.43 / $500.48 / $1,081.97	Professional	TC	$290.43	$500.48	$1,081.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $194.95 / $194.95 / $194.95	Facility	26	$194.95	$194.95	$194.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.49 / $503.02 / $2,747.80	Professional		$318.49	$503.02	$2,747.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.91 / $117.03 / $774.69	Professional	26	$93.91	$117.03	$774.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $219.04 / $392.00 / $2,208.88	Professional	TC	$219.04	$392.00	$2,208.88
United Facility/Professional Professional Modifier Low / Median / High Price $312.62 / $502.83 / $991.97	Professional		$312.62	$502.83	$991.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.36 / $112.60 / $217.17	Professional	26	$90.36	$112.60	$217.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.04 / $359.66 / $737.46	Professional	TC	$219.04	$359.66	$737.46