Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.57 / $256.63 / $889.17	Professional		$221.57	$256.63	$889.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.22 / $148.24 / $242.34	Professional	26	$132.22	$148.24	$242.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.84 / $104.53 / $159.72	Professional	TC	$79.84	$104.53	$159.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.72 / $230.80 / $300.04	Professional		$207.72	$230.80	$300.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $178.43 / $259.99	Professional		$133.82	$178.43	$259.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.23 / $100.32 / $125.40	Professional	26	$75.23	$100.32	$125.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.58 / $78.11 / $97.64	Professional	TC	$58.58	$78.11	$97.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.41 / $176.41 / $176.41	Facility	26	$176.41	$176.41	$176.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $303.00 / $537.02	Professional		$102.90	$303.00	$537.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.32 / $215.54 / $349.85	Professional	26	$151.32	$215.54	$349.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.65 / $136.19 / $223.17	Professional	TC	$90.65	$136.19	$223.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $358.27 / $699.38 / $699.38	Facility	26	$358.27	$699.38	$699.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $305.69 / $1,600.14	Professional		$230.33	$305.69	$1,600.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $140.74 / $182.80 / $982.86	Professional	26	$140.74	$182.80	$982.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.90 / $120.22 / $617.27	Professional	TC	$89.90	$120.22	$617.27
United Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $276.12 / $574.03	Professional		$230.33	$276.12	$574.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $140.44 / $164.52 / $317.20	Professional	26	$140.44	$164.52	$317.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.59 / $114.70 / $204.44	Professional	TC	$89.59	$114.70	$204.44