Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $212.09 / $212.09 / $304.48	Facility	26	$212.09	$212.09	$304.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $333.71 / $643.95	Professional		$265.83	$333.71	$643.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $171.18 / $196.59 / $420.04	Professional	26	$171.18	$196.59	$420.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.51 / $123.34 / $223.92	Professional	TC	$94.51	$123.34	$223.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.86 / $296.60 / $335.28	Professional		$239.86	$296.60	$335.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $195.10 / $195.10 / $254.48	Professional	26	$195.10	$195.10	$254.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.01 / $412.01 / $412.01	Professional		$412.01	$412.01	$412.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.61 / $430.32 / $910.87	Professional		$278.61	$430.32	$910.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $179.50 / $267.99 / $589.02	Professional	26	$179.50	$267.99	$589.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.11 / $154.65 / $321.86	Professional	TC	$99.11	$154.65	$321.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $425.11 / $425.11 / $425.11	Facility	26	$425.11	$425.11	$425.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $417.41 / $1,850.58	Professional		$325.89	$417.41	$1,850.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $204.25 / $259.08 / $1,166.03	Professional	26	$204.25	$259.08	$1,166.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $121.64 / $160.40 / $684.55	Professional	TC	$121.64	$160.40	$684.55
United Facility/Professional Professional Modifier Low / Median / High Price $306.81 / $384.25 / $726.37	Professional		$306.81	$384.25	$726.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $196.09 / $250.47 / $470.09	Professional	26	$196.09	$250.47	$470.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.85 / $146.68 / $272.18	Professional	TC	$115.85	$146.68	$272.18