Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.93 / $82.93 / $121.41	Facility	26	$68.93	$82.93	$121.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $278.55 / $332.37	Professional		$183.11	$278.55	$332.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.43 / $66.26 / $83.05	Professional	26	$53.43	$66.26	$83.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.68 / $196.02 / $272.87	Professional	TC	$129.68	$196.02	$272.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $39.54 / $67.80	Professional	26	$39.54	$39.54	$67.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $383.88	Professional		$383.88	$383.88	$383.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $298.56 / $568.00	Professional		$151.40	$298.56	$568.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.68 / $79.50 / $126.00	Professional	26	$46.68	$79.50	$126.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.60 / $232.99 / $442.00	Professional	TC	$117.60	$232.99	$442.00
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 $234.34 / $348.05 / $1,940.92	Professional		$234.34	$348.05	$1,940.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $81.67 / $556.79	Professional	26	$60.97	$81.67	$556.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $173.37 / $274.80 / $1,561.11	Professional	TC	$173.37	$274.80	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $306.30 / $435.78	Professional		$227.00	$306.30	$435.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $72.05 / $115.57	Professional	26	$57.74	$72.05	$115.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.26 / $235.85 / $327.14	Professional	TC	$169.26	$235.85	$327.14