Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.39 / $119.34 / $171.79	Facility	26	$106.39	$119.34	$171.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $203.90 / $393.89	Professional		$168.89	$203.90	$393.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $110.56 / $236.94	Professional	26	$96.29	$110.56	$236.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.36 / $86.38 / $156.94	Professional	TC	$69.36	$86.38	$156.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $183.96 / $268.33	Professional		$146.22	$183.96	$268.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $110.18 / $110.18 / $143.72	Professional	26	$110.18	$110.18	$143.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $255.51 / $255.51	Professional		$255.51	$255.51	$255.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $270.00 / $557.77	Professional		$178.18	$270.00	$557.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.28 / $152.30 / $332.36	Professional	26	$102.28	$152.30	$332.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.89 / $117.00 / $225.41	Professional	TC	$71.89	$117.00	$225.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.95 / $239.95 / $239.95	Facility	26	$239.95	$239.95	$239.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $257.35 / $1,142.65	Professional		$205.39	$257.35	$1,142.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.72 / $148.00 / $663.65	Professional	26	$116.72	$148.00	$663.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $88.67 / $109.35 / $479.00	Professional	TC	$88.67	$109.35	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $248.42 / $456.43	Professional		$205.39	$248.42	$456.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.84 / $144.71 / $227.96	Professional	26	$111.84	$144.71	$227.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.89 / $104.13 / $198.40	Professional	TC	$87.89	$104.13	$198.40