Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.99 / $80.09 / $95.09	Facility	26	$58.99	$80.09	$95.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $171.00 / $259.57	Professional		$151.11	$171.00	$259.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.83 / $81.89	Professional	26	$51.30	$64.83	$81.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.52 / $115.52 / $201.03	Professional	TC	$89.52	$115.52	$201.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.22 / $45.22 / $76.31	Professional	26	$45.22	$45.22	$76.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $150.50 / $206.66	Professional		$60.20	$150.50	$206.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.13 / $59.13 / $94.46	Facility	26	$59.13	$59.13	$94.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $207.95 / $321.00	Professional		$130.28	$207.95	$321.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.51 / $60.25 / $101.48	Professional	26	$52.51	$60.25	$101.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.34 / $143.75 / $227.92	Professional	TC	$76.34	$143.75	$227.92
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 $148.22 / $212.20 / $1,403.43	Professional		$148.22	$212.20	$1,403.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.50 / $69.92 / $384.88	Professional	26	$52.50	$69.92	$384.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $88.23 / $152.12 / $1,332.00	Professional	TC	$88.23	$152.12	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $179.94 / $320.64	Professional		$145.37	$179.94	$320.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.50 / $65.59 / $100.00	Professional	26	$52.50	$65.59	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $112.72 / $199.27	Professional	TC	$86.20	$112.72	$199.27