Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.12 / $146.13 / $201.62	Facility	26	$146.12	$146.13	$201.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.47 / $236.76 / $281.82	Professional		$229.47	$236.76	$281.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $142.35 / $149.18 / $168.77	Professional	26	$142.35	$149.18	$168.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.34 / $89.24 / $116.17	Professional	TC	$83.34	$89.24	$116.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.08 / $258.94 / $296.24	Professional		$204.08	$258.94	$296.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $133.47 / $235.14 / $253.20	Professional	26	$133.47	$235.14	$253.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $247.80 / $340.26	Professional		$154.35	$247.80	$340.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $265.95 / $396.51	Professional		$85.75	$265.95	$396.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.93 / $210.83 / $257.95	Professional	26	$139.93	$210.83	$257.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.61 / $124.73 / $155.13	Professional	TC	$81.61	$124.73	$155.13
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 $227.93 / $303.83 / $1,600.14	Professional		$227.93	$303.83	$1,600.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $139.27 / $191.94 / $982.86	Professional	26	$139.27	$191.94	$982.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $88.66 / $123.35 / $617.27	Professional	TC	$88.66	$123.35	$617.27
United Facility/Professional Professional Modifier Low / Median / High Price $227.93 / $283.32 / $480.74	Professional		$227.93	$283.32	$480.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.27 / $178.23 / $285.75	Professional	26	$139.27	$178.23	$285.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.44 / $109.52 / $186.99	Professional	TC	$83.44	$109.52	$186.99