Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.39 / $115.91 / $191.17	Facility	26	$80.39	$115.91	$191.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $300.00 / $385.88	Professional		$171.00	$300.00	$385.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $88.48 / $111.38	Professional	26	$51.30	$88.48	$111.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $210.15 / $310.24	Professional	TC	$119.70	$210.15	$310.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.49 / $76.87 / $103.77	Professional	26	$61.49	$76.87	$103.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $273.70 / $375.83	Professional		$82.95	$273.70	$375.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.19 / $81.19 / $128.88	Facility	26	$81.19	$81.19	$128.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.86 / $410.70 / $698.49	Professional		$235.86	$410.70	$698.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.02 / $82.12 / $138.30	Professional	26	$72.02	$82.12	$138.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.84 / $311.98 / $593.58	Professional	TC	$162.84	$311.98	$593.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $600.40 / $773.84 / $773.84	Facility	26	$600.40	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $386.33 / $3,248.56	Professional		$267.14	$386.33	$3,248.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.84 / $94.52 / $880.00	Professional	26	$71.84	$94.52	$880.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $180.74 / $377.69 / $2,762.21	Professional	TC	$180.74	$377.69	$2,762.21
United Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $346.14 / $652.96	Professional		$261.86	$346.14	$652.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.84 / $89.50 / $169.37	Professional	26	$71.84	$89.50	$169.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.74 / $232.64 / $510.48	Professional	TC	$180.74	$232.64	$510.48