Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.43 / $93.81 / $138.88	Facility	26	$77.43	$93.81	$138.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $232.38 / $259.57	Professional		$152.38	$232.38	$259.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.53 / $75.36 / $112.27	Professional	26	$58.53	$75.36	$112.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.62 / $138.57 / $186.39	Professional	TC	$91.62	$138.57	$186.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.98 / $45.08 / $64.66	Professional	26	$44.98	$45.08	$64.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.61 / $64.61 / $64.61	Professional	TC	$64.61	$64.61	$64.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Professional		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $241.23 / $391.00	Professional		$126.01	$241.23	$391.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $82.37 / $114.53	Professional	26	$51.32	$82.37	$114.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.93 / $157.50 / $285.00	Professional	TC	$82.93	$157.50	$285.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $441.84 / $568.24 / $568.24	Facility	26	$441.84	$568.24	$568.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $278.36 / $1,403.43	Professional		$173.23	$278.36	$1,403.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.48 / $89.61 / $384.88	Professional	26	$58.48	$89.61	$384.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $103.88 / $196.47 / $1,332.00	Professional	TC	$103.88	$196.47	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $250.64 / $323.08	Professional		$167.09	$250.64	$323.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.48 / $76.04 / $131.34	Professional	26	$58.48	$76.04	$131.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $152.12 / $228.49	Professional	TC	$101.41	$152.12	$228.49