Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.16 / $68.40 / $332.66	Facility	26	$65.16	$68.40	$332.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $203.03 / $349.43	Professional		$171.00	$203.03	$349.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.14 / $81.01	Professional	26	$51.30	$64.14	$81.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $138.88 / $288.44	Professional	TC	$119.70	$138.88	$288.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.50 / $44.50 / $44.50	Professional	26	$44.50	$44.50	$44.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $186.55 / $256.16	Professional		$63.77	$186.55	$256.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.09 / $65.09 / $104.36	Facility	26	$65.09	$65.09	$104.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $294.45 / $446.49	Professional		$159.05	$294.45	$446.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.33 / $64.92 / $101.95	Professional	26	$53.33	$64.92	$101.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.64 / $204.33 / $362.49	Professional	TC	$105.64	$204.33	$362.49
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 $181.17 / $279.05 / $2,075.08	Professional		$181.17	$279.05	$2,075.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $71.45 / $460.66	Professional	26	$56.52	$71.45	$460.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $123.39 / $228.58 / $1,685.33	Professional	TC	$123.39	$228.58	$1,685.33
United Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $221.18 / $406.35	Professional		$179.91	$221.18	$406.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.29 / $64.95 / $124.66	Professional	26	$56.29	$64.95	$124.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.55 / $163.10 / $285.38	Professional	TC	$120.55	$163.10	$285.38