Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.64 / $98.64 / $153.27	Facility	26	$98.64	$98.64	$153.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $175.99 / $224.53	Professional		$163.28	$175.99	$224.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.18 / $100.69 / $113.03	Professional	26	$96.18	$100.69	$113.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.65 / $69.26 / $88.59	Professional	TC	$64.65	$69.26	$88.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.59 / $157.72 / $326.50	Professional		$147.59	$157.72	$326.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.48 / $113.20 / $169.63	Professional	26	$89.48	$113.20	$169.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $177.80 / $244.14	Professional		$103.95	$177.80	$244.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $193.45 / $284.44	Professional		$85.75	$193.45	$284.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.78 / $140.69 / $172.16	Professional	26	$93.78	$140.69	$172.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.19 / $101.00 / $124.20	Professional	TC	$63.19	$101.00	$124.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.95 / $467.77 / $467.77	Facility	26	$239.95	$467.77	$467.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $218.44 / $1,142.65	Professional		$166.27	$218.44	$1,142.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.49 / $129.37 / $663.65	Professional	26	$94.49	$129.37	$663.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $71.78 / $98.28 / $479.00	Professional	TC	$71.78	$98.28	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $212.16 / $350.69	Professional		$162.36	$212.16	$350.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.49 / $116.72 / $199.29	Professional	26	$94.49	$116.72	$199.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.53 / $90.59 / $163.83	Professional	TC	$70.53	$90.59	$163.83