Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $398.11	Professional		$234.42	$275.42	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $100.00 / $131.83	Professional	26	$91.20	$100.00	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $173.78 / $257.04	Professional	TC	$141.25	$173.78	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $295.12	Professional		$251.19	$251.19	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $323.59	Professional		$100.00	$218.78	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $562.34	Professional		$245.47	$354.81	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $134.90 / $169.82	Professional	26	$100.00	$134.90	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $218.78 / $407.38	Professional	TC	$144.54	$218.78	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $446.68 / $446.68	Facility	26	$234.42	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $1,995.26	Professional		$223.87	$316.23	$1,995.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $724.44	Professional	26	$87.10	$117.49	$724.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $186.21 / $1,584.89	Professional	TC	$131.83	$186.21	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $436.52	Professional		$218.78	$275.42	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $169.82	Professional	26	$85.11	$107.15	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $275.42	Professional	TC	$128.82	$162.18	$275.42