Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $104.71 / $112.20	Facility	26	$77.62	$104.71	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $426.58	Professional		$213.80	$275.42	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $181.97	Professional	26	$54.95	$83.18	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $186.21 / $316.23	Professional	TC	$141.25	$186.21	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $120.23	Professional	26	$56.23	$79.43	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $223.87 / $309.03	Professional		$77.62	$223.87	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $107.15	Facility	26	$66.07	$66.07	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $467.74	Professional		$204.17	$309.03	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $128.82	Professional	26	$57.54	$75.86	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $234.42 / $354.81	Professional	TC	$138.04	$234.42	$354.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $707.95 / $707.95	Facility	26	$549.54	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $2,041.74	Professional		$218.78	$309.03	$2,041.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $489.78	Professional	26	$63.10	$85.11	$489.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $1,995.26	Professional	TC	$144.54	$245.47	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $489.78	Professional		$213.80	$275.42	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $123.03	Professional	26	$58.88	$81.28	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $371.54	Professional	TC	$141.25	$181.97	$371.54