Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $74.13 / $407.38	Facility	26	$69.18	$74.13	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $398.11	Professional		$173.78	$234.42	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $138.04	Professional	26	$51.29	$66.07	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $165.96 / $309.03	Professional	TC	$120.23	$165.96	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $70.79 / $93.33	Professional	26	$40.74	$70.79	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $181.97 / $251.19	Professional		$53.70	$181.97	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $102.33	Facility	26	$63.10	$63.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $467.74	Professional		$173.78	$288.40	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $112.20	Professional	26	$47.86	$67.61	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $223.87 / $363.08	Professional	TC	$128.82	$223.87	$363.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $501.19 / $501.19	Facility	26	$389.05	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $1,949.84	Professional		$194.98	$281.84	$1,949.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $562.34	Professional	26	$50.12	$67.61	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $229.09 / $1,548.82	Professional	TC	$147.91	$229.09	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $446.68	Professional		$194.98	$251.19	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $95.50	Professional	26	$48.98	$57.54	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $190.55 / $363.08	Professional	TC	$144.54	$190.55	$363.08