Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.08 / $153.11 / $214.35	Facility	26	$149.08	$153.11	$214.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $246.47 / $475.98	Professional		$201.63	$246.47	$475.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $138.50 / $295.63	Professional	26	$120.34	$138.50	$295.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.68 / $99.24 / $180.35	Professional	TC	$79.68	$99.24	$180.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $217.21 / $322.41	Professional		$149.31	$217.21	$322.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $137.47 / $137.47 / $179.31	Professional	26	$137.47	$137.47	$179.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $308.33 / $308.33	Professional		$308.33	$308.33	$308.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.98 / $320.02 / $673.62	Professional		$214.98	$320.02	$673.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.75 / $189.11 / $414.66	Professional	26	$127.75	$189.11	$414.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.20 / $130.93 / $258.95	Professional	TC	$82.20	$130.93	$258.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $299.41 / $299.41 / $299.41	Facility	26	$299.41	$299.41	$299.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $308.33 / $1,374.92	Professional		$245.93	$308.33	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $144.38 / $183.11 / $824.31	Professional	26	$144.38	$183.11	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.55 / $126.63 / $550.61	Professional	TC	$101.55	$126.63	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $238.11 / $294.17 / $547.08	Professional		$238.11	$294.17	$547.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $138.74 / $171.46 / $326.94	Professional	26	$138.74	$171.46	$326.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.81 / $122.32 / $218.13	Professional	TC	$98.81	$122.32	$218.13