Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.64 / $61.15 / $297.41	Facility	26	$51.64	$61.15	$297.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $171.00 / $259.94	Professional		$149.01	$171.00	$259.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $56.94 / $72.02	Professional	26	$51.30	$56.94	$72.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.61 / $119.70 / $208.43	Professional	TC	$94.61	$119.70	$208.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $39.75 / $67.06	Professional	26	$39.75	$39.75	$67.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $148.75 / $204.26	Professional		$53.55	$148.75	$204.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.02 / $52.02 / $83.28	Facility	26	$52.02	$52.02	$83.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $204.60 / $326.61	Professional		$128.66	$204.60	$326.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $52.99 / $89.24	Professional	26	$46.19	$52.99	$89.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.02 / $152.41 / $242.68	Professional	TC	$81.02	$152.41	$242.68
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 $146.12 / $210.38 / $1,547.04	Professional		$146.12	$210.38	$1,547.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $60.97 / $363.24	Professional	26	$46.39	$60.97	$363.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.26 / $161.87 / $1,263.33	Professional	TC	$92.26	$161.87	$1,263.33
United Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $166.14 / $325.50	Professional		$132.52	$166.14	$325.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $57.74 / $92.12	Professional	26	$46.19	$57.74	$92.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.26 / $120.54 / $212.04	Professional	TC	$92.26	$120.54	$212.04