Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $75.86 / $83.18	Facility	26	$63.10	$75.86	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $354.81	Professional		$151.36	$199.53	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $138.04	Professional	26	$51.29	$67.61	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $125.89 / $263.03	Professional	TC	$97.72	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $70.79	Professional	26	$39.81	$51.29	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $151.36 / $208.93	Professional		$53.70	$151.36	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $95.50	Facility	26	$60.26	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $389.05	Professional		$141.25	$251.19	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $109.65	Professional	26	$47.86	$63.10	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $190.55 / $302.00	Professional	TC	$91.20	$190.55	$302.00
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 $151.36 / $218.78 / $1,698.24	Professional		$151.36	$218.78	$1,698.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $389.05	Professional	26	$50.12	$64.57	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $186.21 / $2,041.74	Professional	TC	$97.72	$186.21	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $380.19	Professional		$144.54	$186.21	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $91.20	Professional	26	$48.98	$57.54	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $123.03 / $295.12	Professional	TC	$95.50	$123.03	$295.12