Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.84 / $183.49 / $256.88	Facility	26	$178.84	$183.49	$256.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.29 / $281.82 / $557.02	Professional		$224.29	$281.82	$557.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.25 / $166.09 / $354.32	Professional	26	$144.25	$166.09	$354.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.48 / $111.68 / $202.70	Professional	TC	$85.48	$111.68	$202.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $257.52 / $286.14	Professional		$253.13	$257.52	$286.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $164.43 / $164.43 / $214.47	Professional	26	$164.43	$164.43	$214.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.73 / $357.73 / $357.73	Professional		$357.73	$357.73	$357.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $370.55 / $788.41	Professional		$243.30	$370.55	$788.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.63 / $226.32 / $496.96	Professional	26	$151.63	$226.32	$496.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.66 / $141.60 / $291.45	Professional	TC	$91.66	$141.60	$291.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $358.27 / $358.27 / $358.27	Facility	26	$358.27	$358.27	$358.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $359.99 / $1,600.14	Professional		$281.56	$359.99	$1,600.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $172.04 / $218.25 / $982.86	Professional	26	$172.04	$218.25	$982.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.52 / $143.26 / $617.27	Professional	TC	$109.52	$143.26	$617.27
United Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $331.83 / $627.12	Professional		$266.00	$331.83	$627.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $163.85 / $205.66 / $318.22	Professional	26	$163.85	$205.66	$318.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.07 / $132.05 / $237.41	Professional	TC	$101.07	$132.05	$237.41