Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.53 / $122.53 / $161.74	Facility	26	$122.53	$122.53	$161.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $203.29 / $268.05	Professional		$196.84	$203.29	$268.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.42 / $125.08 / $141.09	Professional	26	$119.42	$125.08	$141.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.31 / $79.63 / $102.67	Professional	TC	$74.31	$79.63	$102.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $189.32 / $253.92	Professional		$174.92	$189.32	$253.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.61 / $141.38 / $211.67	Professional	26	$111.61	$141.38	$211.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $213.85 / $293.64	Professional		$129.15	$213.85	$293.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $233.25 / $342.00	Professional		$85.75	$233.25	$342.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.15 / $175.83 / $215.08	Professional	26	$117.15	$175.83	$215.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.26 / $115.68 / $139.16	Professional	TC	$72.26	$115.68	$139.16
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 $199.09 / $265.32 / $1,374.92	Professional		$199.09	$265.32	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.88 / $160.02 / $824.31	Professional	26	$116.88	$160.02	$824.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $82.21 / $111.22 / $550.61	Professional	TC	$82.21	$111.22	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $257.64 / $419.91	Professional		$199.09	$257.64	$419.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.88 / $148.34 / $246.51	Professional	26	$116.88	$148.34	$246.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.84 / $103.69 / $173.40	Professional	TC	$81.84	$103.69	$173.40