Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.45 / $399.67 / $1,008.65	Professional		$339.45	$399.67	$1,008.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.55 / $198.14 / $270.20	Professional	26	$165.55	$198.14	$270.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.60 / $192.77 / $752.59	Professional	TC	$151.60	$192.77	$752.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $185.81 / $185.81 / $185.81	Professional	26	$185.81	$185.81	$185.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.19 / $640.07 / $640.07	Professional		$223.19	$640.07	$640.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $326.16	Professional		$326.16	$326.16	$326.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $153.56	Professional	26	$153.56	$153.56	$153.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.11 / $439.86 / $960.26	Facility		$302.11	$439.86	$960.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.44 / $487.06 / $5,718.36	Professional		$230.44	$487.06	$5,718.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $204.05 / $1,098.38	Professional	26	$111.30	$204.05	$1,098.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $121.95 / $227.36 / $2,229.25	Professional	TC	$121.95	$227.36	$2,229.25
United Facility/Professional Professional Modifier Low / Median / High Price $230.44 / $347.90 / $649.94	Professional		$230.44	$347.90	$649.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.65 / $185.50 / $259.70	Professional	26	$169.65	$185.50	$259.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $162.40 / $459.33	Professional	TC	$97.44	$162.40	$459.33