Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $223.25 / $587.53	Professional		$188.22	$223.25	$587.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.15 / $128.53 / $261.07	Professional	26	$110.15	$128.53	$261.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.90 / $92.39 / $141.16	Professional	TC	$76.90	$92.39	$141.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.07 / $247.59 / $408.22	Professional		$198.07	$247.59	$408.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $158.55 / $222.44	Professional		$132.79	$158.55	$222.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $89.14 / $111.43	Professional	26	$66.86	$89.14	$111.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.06 / $69.41 / $86.76	Professional	TC	$52.06	$69.41	$86.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.65 / $147.65 / $147.65	Facility	26	$147.65	$147.65	$147.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $266.73 / $471.54	Professional		$102.90	$266.73	$471.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.96 / $179.70 / $293.86	Professional	26	$126.96	$179.70	$293.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.56 / $122.46 / $210.78	Professional	TC	$80.56	$122.46	$210.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $299.41 / $584.34 / $584.34	Facility	26	$299.41	$584.34	$584.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $262.00 / $1,374.92	Professional		$201.19	$262.00	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $118.11 / $152.40 / $824.31	Professional	26	$118.11	$152.40	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.08 / $109.33 / $550.61	Professional	TC	$83.08	$109.33	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $235.81 / $466.10	Professional		$197.70	$235.81	$466.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $118.11 / $140.97 / $273.63	Professional	26	$118.11	$140.97	$273.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.08 / $101.38 / $199.24	Professional	TC	$83.08	$101.38	$199.24