Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.51 / $74.45 / $102.38	Facility	26	$63.51	$74.45	$102.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $198.28 / $372.00	Professional		$171.00	$198.28	$372.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $56.94 / $71.61	Professional	26	$51.30	$56.94	$71.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $141.34 / $272.87	Professional	TC	$119.70	$141.34	$272.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $49.68 / $67.06	Professional	26	$40.94	$49.68	$67.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $181.65 / $249.43	Professional		$53.55	$181.65	$249.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.43 / $63.43 / $101.60	Facility	26	$63.43	$63.43	$101.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $280.25 / $431.87	Professional		$155.55	$280.25	$431.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.41 / $64.12 / $99.39	Professional	26	$47.41	$64.12	$99.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.86 / $225.63 / $344.39	Professional	TC	$107.86	$225.63	$344.39
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 $197.49 / $280.14 / $1,940.92	Professional		$197.49	$280.14	$1,940.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $68.98 / $556.79	Professional	26	$50.23	$68.98	$556.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.26 / $249.20 / $1,561.11	Professional	TC	$147.26	$249.20	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $272.39 / $435.61	Professional		$204.30	$272.39	$435.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $57.74 / $94.50	Professional	26	$50.23	$57.74	$94.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.91 / $199.43 / $332.60	Professional	TC	$148.91	$199.43	$332.60