Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.50 / $79.45 / $386.43	Facility	26	$67.50	$79.45	$386.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $292.77 / $475.00	Professional		$250.00	$292.77	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $74.08 / $140.00	Professional	26	$62.50	$74.08	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $218.70 / $351.43	Professional	TC	$187.50	$218.70	$351.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.90 / $114.90 / $114.90	Professional	26	$114.90	$114.90	$114.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $277.89 / $381.60	Professional		$69.65	$277.89	$381.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.94 / $67.94 / $109.44	Facility	26	$67.94	$67.94	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $362.05 / $561.17	Professional		$225.28	$362.05	$561.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.36 / $69.53 / $117.10	Professional	26	$60.36	$69.53	$117.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.16 / $290.50 / $457.78	Professional	TC	$163.16	$290.50	$457.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $505.36 / $653.60 / $653.60	Facility	26	$505.36	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.51 / $382.82 / $2,872.81	Professional		$271.51	$382.82	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $80.04 / $548.98	Professional	26	$60.23	$80.04	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $206.60 / $350.23 / $2,498.98	Professional	TC	$206.60	$350.23	$2,498.98
United Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $320.54 / $611.16	Professional		$272.54	$320.54	$611.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $75.31 / $145.22	Professional	26	$60.23	$75.31	$145.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.60 / $253.04 / $478.68	Professional	TC	$206.60	$253.04	$478.68