Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.54 / $89.44 / $137.38	Facility	26	$77.54	$89.44	$137.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $240.56 / $349.43	Professional		$187.53	$240.56	$349.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $74.53 / $93.37	Professional	26	$60.11	$74.53	$93.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.42 / $161.34 / $288.44	Professional	TC	$127.42	$161.34	$288.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $44.25 / $44.76	Professional	26	$44.25	$44.25	$44.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.31 / $381.31 / $381.31	Professional		$381.31	$381.31	$381.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $307.31 / $606.00	Professional		$154.56	$307.31	$606.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $87.45 / $117.99	Professional	26	$52.84	$87.45	$117.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.75 / $227.76 / $489.00	Professional	TC	$114.75	$227.76	$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 $213.87 / $373.31 / $2,075.08	Professional		$213.87	$373.31	$2,075.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $88.64 / $460.66	Professional	26	$64.20	$88.64	$460.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $145.27 / $309.11 / $1,685.33	Professional	TC	$145.27	$309.11	$1,685.33
United Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $310.19 / $434.37	Professional		$206.79	$310.19	$434.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $77.76 / $121.20	Professional	26	$64.20	$77.76	$121.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.27 / $241.11 / $357.81	Professional	TC	$145.27	$241.11	$357.81