Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $97.72 / $245.47	Facility	26	$79.43	$97.72	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $389.05	Professional		$147.91	$194.98	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $141.25	Professional	26	$52.48	$77.62	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $125.89 / $263.03	Professional	TC	$95.50	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $144.54	Professional		$123.03	$123.03	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $42.66 / $66.07	Professional	26	$39.81	$42.66	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $501.19	Professional		$128.82	$263.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $112.20	Professional	26	$46.77	$77.62	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $181.97 / $354.81	Professional	TC	$91.20	$181.97	$354.81
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 $169.82 / $309.03 / $1,698.24	Professional		$169.82	$309.03	$1,698.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $389.05	Professional	26	$56.23	$79.43	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $229.09 / $2,041.74	Professional	TC	$109.65	$229.09	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $363.08	Professional		$169.82	$257.04	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $66.07 / $104.71	Professional	26	$57.54	$66.07	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $165.96 / $269.15	Professional	TC	$109.65	$165.96	$269.15