Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.41 / $173.42 / $268.04	Facility	26	$173.41	$173.42	$268.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $273.95 / $344.30	Professional		$265.83	$273.95	$344.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.93 / $177.03 / $200.22	Professional	26	$168.93	$177.03	$200.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.42 / $98.97 / $129.86	Professional	TC	$92.42	$98.97	$129.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $303.38 / $347.09	Professional		$239.10	$303.38	$347.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $158.37 / $200.73 / $300.43	Professional	26	$158.37	$200.73	$300.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $288.05 / $395.53	Professional		$183.05	$288.05	$395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $309.23 / $460.25	Professional		$85.75	$309.23	$460.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.45 / $250.14 / $305.95	Professional	26	$165.45	$250.14	$305.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.39 / $138.55 / $173.54	Professional	TC	$90.39	$138.55	$173.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $425.11 / $829.58 / $829.58	Facility	26	$425.11	$829.58	$829.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $348.38 / $1,850.58	Professional		$263.81	$348.38	$1,850.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $165.34 / $227.64 / $1,166.03	Professional	26	$165.34	$227.64	$1,166.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $98.47 / $138.07 / $684.55	Professional	TC	$98.47	$138.07	$684.55
United Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $325.89 / $556.44	Professional		$263.81	$325.89	$556.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.34 / $205.96 / $348.74	Professional	26	$165.34	$205.96	$348.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.68 / $126.47 / $224.75	Professional	TC	$92.68	$126.47	$224.75