Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.89 / $85.89 / $182.62	Facility	26	$85.89	$85.89	$182.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $157.00 / $359.31	Professional		$130.81	$157.00	$359.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.04 / $83.62 / $182.62	Professional	26	$75.04	$83.62	$182.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $78.06 / $176.70	Professional	TC	$55.03	$78.06	$176.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.48 / $76.48 / $84.44	Professional	26	$76.48	$76.48	$84.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.12 / $222.12 / $222.12	Professional		$222.12	$222.12	$222.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $256.83 / $510.26	Professional		$148.33	$256.83	$510.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.16 / $122.93 / $256.54	Professional	26	$79.16	$122.93	$256.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.22 / $127.12 / $253.72	Professional	TC	$71.22	$127.12	$253.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $183.99 / $183.99 / $183.99	Facility	26	$183.99	$183.99	$183.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $213.63 / $1,053.48	Professional		$135.59	$213.63	$1,053.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $86.11 / $110.91 / $509.36	Professional	26	$86.11	$110.91	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $108.60 / $544.05	Professional	TC	$40.47	$108.60	$544.05
United Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $184.55 / $367.40	Professional		$132.38	$184.55	$367.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.44 / $105.03 / $202.50	Professional	26	$85.44	$105.03	$202.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.57 / $99.65 / $206.20	Professional	TC	$41.57	$99.65	$206.20