Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $114.82 / $436.52	Facility	26	$70.79	$114.82	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $645.65	Professional		$269.15	$426.58	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $112.20 / $177.83	Professional	26	$70.79	$112.20	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $316.23 / $478.63	Professional	TC	$199.53	$316.23	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $83.18 / $109.65	Professional	26	$83.18	$83.18	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $275.42 / $380.19	Professional		$69.18	$275.42	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $109.65	Facility	26	$67.61	$67.61	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $602.56	Professional		$239.88	$398.11	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $141.25	Professional	26	$57.54	$72.44	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $309.03 / $478.63	Professional	TC	$181.97	$309.03	$478.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $660.69 / $660.69	Facility	26	$501.19	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $2,884.03	Professional		$269.15	$380.19	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $549.54	Professional	26	$60.26	$81.28	$549.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $346.74 / $2,511.89	Professional	TC	$208.93	$346.74	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $645.65	Professional		$269.15	$338.84	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $114.82	Professional	26	$60.26	$75.86	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $251.19 / $537.03	Professional	TC	$204.17	$251.19	$537.03