Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.20 / $123.91 / $132.24	Facility	26	$80.20	$123.91	$132.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $388.43 / $495.36	Professional		$365.98	$388.43	$495.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.18 / $81.87 / $91.78	Professional	26	$78.18	$81.87	$91.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $304.33 / $387.20	Professional	TC	$284.67	$304.33	$387.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.52 / $466.22 / $466.22	Professional		$388.52	$466.22	$466.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.48 / $97.43 / $122.74	Professional	26	$72.48	$97.43	$122.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $390.60 / $536.35	Professional		$84.35	$390.60	$536.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.97 / $488.72 / $706.45	Professional		$271.97	$488.72	$706.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.47 / $116.47 / $143.22	Professional	26	$76.47	$116.47	$143.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.40 / $391.05 / $564.74	Professional	TC	$219.40	$391.05	$564.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $194.95 / $379.97 / $379.97	Facility	26	$194.95	$379.97	$379.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.44 / $440.08 / $2,747.80	Professional		$326.44	$440.08	$2,747.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.39 / $104.47 / $774.69	Professional	26	$76.39	$104.47	$774.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $240.29 / $343.32 / $2,208.88	Professional	TC	$240.29	$343.32	$2,208.88
United Facility/Professional Professional Modifier Low / Median / High Price $322.07 / $404.33 / $747.29	Professional		$322.07	$404.33	$747.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.39 / $94.60 / $161.10	Professional	26	$76.39	$94.60	$161.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $238.05 / $313.75 / $634.32	Professional	TC	$238.05	$313.75	$634.32