Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.20 / $42.20 / $42.20	Facility	26	$42.20	$42.20	$42.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.74 / $327.39 / $382.52	Professional		$287.74	$327.39	$382.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $141.10 / $168.21 / $210.14	Professional	52	$141.10	$168.21	$210.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.80 / $282.22 / $329.17	Professional	TC	$247.80	$282.22	$329.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.54 / $423.54 / $423.54	Professional		$423.54	$423.54	$423.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $329.70 / $452.73	Professional		$44.45	$329.70	$452.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $359.97 / $489.05	Professional		$84.63	$359.97	$489.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.43 / $355.78 / $432.00	Professional	TC	$252.43	$355.78	$432.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.98 / $201.33 / $201.33	Facility	26	$102.98	$201.33	$201.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $391.05 / $2,332.00	Professional		$303.08	$391.05	$2,332.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $256.41 / $330.63 / $2,048.28	Professional	TC	$256.41	$330.63	$2,048.28
United Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $370.46 / $639.26	Professional		$298.00	$370.46	$639.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.14 / $318.62 / $509.73	Professional	TC	$247.14	$318.62	$509.73