Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.04 / $79.51 / $122.10	Facility	26	$68.04	$79.51	$122.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $210.22 / $232.72	Professional		$149.88	$210.22	$232.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $66.26 / $83.05	Professional	26	$48.57	$66.26	$83.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.46 / $135.66 / $184.15	Professional	TC	$96.46	$135.66	$184.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $39.54 / $39.97	Professional	26	$39.54	$39.54	$39.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $311.00 / $311.00	Professional		$311.00	$311.00	$311.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $242.20 / $457.00	Professional		$124.45	$242.20	$457.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $75.59 / $119.00	Professional	26	$44.84	$75.59	$119.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.81 / $157.63 / $338.00	Professional	TC	$86.81	$157.63	$338.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $388.00 / $502.08 / $502.08	Facility	26	$388.00	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $276.94 / $1,547.04	Professional		$171.50	$276.94	$1,547.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $78.78 / $363.24	Professional	26	$51.65	$78.78	$363.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $110.53 / $216.11 / $1,263.33	Professional	TC	$110.53	$216.11	$1,263.33
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $250.98 / $347.22	Professional		$165.65	$250.98	$347.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $63.52 / $100.20	Professional	26	$51.65	$63.52	$100.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.91 / $172.66 / $251.88	Professional	TC	$107.91	$172.66	$251.88