Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.14 / $92.30 / $137.38	Facility	26	$87.14	$92.30	$137.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $312.16 / $368.37	Professional		$213.66	$312.16	$368.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.79 / $74.13 / $92.88	Professional	26	$59.79	$74.13	$92.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.88 / $232.67 / $306.18	Professional	TC	$153.88	$232.67	$306.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $57.71 / $63.62	Professional	26	$44.25	$57.71	$63.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $426.00 / $426.00	Professional		$426.00	$426.00	$426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.65 / $361.95 / $609.00	Professional		$176.65	$361.95	$609.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $87.52 / $125.01	Professional	26	$52.84	$87.52	$125.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.28 / $273.16 / $489.00	Professional	TC	$140.28	$273.16	$489.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $561.91 / $561.91	Facility	26	$434.48	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $402.95 / $2,220.23	Professional		$259.72	$402.95	$2,220.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.64 / $89.72 / $590.91	Professional	26	$65.64	$89.72	$590.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $191.49 / $326.47 / $1,822.59	Professional	TC	$191.49	$326.47	$1,822.59
United Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $364.62 / $482.64	Professional		$251.54	$364.62	$482.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $80.06 / $140.11	Professional	26	$64.59	$80.06	$140.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.94 / $252.81 / $366.27	Professional	TC	$186.94	$252.81	$366.27