Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.20 / $118.84 / $149.26	Facility	26	$81.20	$118.84	$149.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.79 / $378.13 / $564.78	Professional		$322.79	$378.13	$564.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.85 / $109.08 / $157.91	Professional	26	$88.85	$109.08	$157.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.94 / $274.05 / $406.87	Professional	TC	$233.94	$274.05	$406.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $47.03 / $47.03	Professional	26	$16.89	$47.03	$47.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.82 / $488.82 / $488.82	Professional		$488.82	$488.82	$488.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $413.17 / $817.00	Professional		$189.96	$413.17	$817.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $83.16 / $183.00	Professional	26	$53.85	$83.16	$183.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.51 / $311.37 / $634.00	Professional	TC	$152.51	$311.37	$634.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $461.28 / $596.96 / $596.96	Facility	26	$461.28	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $508.76 / $2,821.00	Professional		$273.51	$508.76	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $90.44 / $625.77	Professional	26	$60.99	$90.44	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $201.09 / $447.77 / $2,451.15	Professional	TC	$201.09	$447.77	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $450.33 / $621.12	Professional		$264.89	$450.33	$621.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $75.43 / $130.63	Professional	26	$60.99	$75.43	$130.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.33 / $314.13 / $497.83	Professional	TC	$196.33	$314.13	$497.83