Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.67 / $70.03 / $81.70	Facility	26	$59.67	$70.03	$81.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $171.00 / $287.22	Professional		$152.87	$171.00	$287.22
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 $98.79 / $119.70 / $231.15	Professional	TC	$98.79	$119.70	$231.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.75 / $49.68 / $84.41	Professional	26	$39.75	$49.68	$84.41
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $170.98 / $170.98 / $170.98	Professional	TC	$170.98	$170.98	$170.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $152.94 / $210.02	Professional		$53.20	$152.94	$210.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.10 / $60.10 / $96.08	Facility	26	$60.10	$60.10	$96.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $242.52 / $367.69	Professional		$131.66	$242.52	$367.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.41 / $59.56 / $93.43	Professional	26	$47.41	$59.56	$93.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.06 / $161.26 / $290.02	Professional	TC	$84.06	$161.26	$290.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $388.00 / $498.88 / $498.88	Facility	26	$388.00	$498.88	$498.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $232.33 / $1,708.01	Professional		$149.84	$232.33	$1,708.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $65.12 / $384.71	Professional	26	$50.23	$65.12	$384.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.34 / $184.89 / $2,023.00	Professional	TC	$97.34	$184.89	$2,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $195.06 / $334.03	Professional		$147.57	$195.06	$334.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $57.74 / $92.12	Professional	26	$50.23	$57.74	$92.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.34 / $114.60 / $228.05	Professional	TC	$97.34	$114.60	$228.05