Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $312.48 / $433.26	Professional		$234.24	$312.48	$433.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $94.59 / $129.97	Professional	26	$84.34	$94.59	$129.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.58 / $194.76 / $318.50	Professional	TC	$140.58	$194.76	$318.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.49 / $234.49 / $289.66	Professional		$234.49	$234.49	$289.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $122.97 / $122.97 / $122.97	Professional	26	$122.97	$122.97	$122.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.97 / $265.29 / $331.61	Professional		$198.97	$265.29	$331.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $90.89 / $113.61	Professional	26	$68.17	$90.89	$113.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.80 / $174.40 / $218.00	Professional	TC	$130.80	$174.40	$218.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.59 / $114.59 / $114.59	Facility	26	$114.59	$114.59	$114.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $340.46 / $651.44	Professional		$227.75	$340.46	$651.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.38 / $130.69 / $226.38	Professional	26	$91.38	$130.69	$226.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.47 / $201.37 / $417.98	Professional	TC	$132.47	$201.37	$417.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $232.57 / $451.11 / $451.11	Facility	26	$232.57	$451.11	$451.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $326.61 / $2,013.87	Professional		$231.68	$326.61	$2,013.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.42 / $112.34 / $716.57	Professional	26	$90.42	$112.34	$716.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $137.55 / $207.20 / $1,590.04	Professional	TC	$137.55	$207.20	$1,590.04
United Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $297.87 / $538.26	Professional		$224.44	$297.87	$538.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.26 / $105.84 / $194.57	Professional	26	$89.26	$105.84	$194.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.93 / $188.70 / $319.69	Professional	TC	$133.93	$188.70	$319.69