Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.99 / $80.09 / $95.09	Facility	26	$58.99	$80.09	$95.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $173.66 / $259.57	Professional		$160.07	$173.66	$259.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.83 / $81.89	Professional	26	$51.30	$64.83	$81.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.16 / $119.70 / $201.03	Professional	TC	$98.16	$119.70	$201.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.22 / $56.08 / $95.99	Professional	26	$45.22	$56.08	$95.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $113.46 / $113.46 / $113.46	Professional	TC	$113.46	$113.46	$113.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $158.55 / $217.71	Professional		$64.51	$158.55	$217.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.83 / $58.83 / $94.46	Facility	26	$58.83	$58.83	$94.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $241.46 / $378.31	Professional		$138.05	$241.46	$378.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.51 / $59.95 / $100.96	Professional	26	$52.51	$59.95	$100.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.79 / $188.68 / $291.49	Professional	TC	$83.79	$188.68	$291.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $441.84 / $571.36 / $571.36	Facility	26	$441.84	$571.36	$571.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $244.26 / $1,670.68	Professional		$173.02	$244.26	$1,670.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $68.98 / $520.49	Professional	26	$52.18	$68.98	$520.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $120.26 / $203.52 / $1,318.41	Professional	TC	$120.26	$203.52	$1,318.41
United Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $234.08 / $379.50	Professional		$177.09	$234.08	$379.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $65.31 / $98.16	Professional	26	$52.18	$65.31	$98.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.26 / $158.96 / $265.26	Professional	TC	$120.26	$158.96	$265.26