Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.91 / $72.79 / $106.25	Facility	26	$61.91	$72.79	$106.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $275.00 / $475.00	Professional		$233.32	$275.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $68.75 / $140.00	Professional	26	$62.50	$68.75	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.79 / $206.25 / $335.00	Professional	TC	$166.79	$206.25	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $165.73 / $165.73	Professional		$165.73	$165.73	$165.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.26 / $47.26 / $100.38	Professional	26	$47.26	$47.26	$100.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $234.85 / $322.48	Professional		$63.35	$234.85	$322.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.82 / $61.82 / $99.41	Facility	26	$61.82	$61.82	$99.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.45 / $382.39 / $594.39	Professional		$194.45	$382.39	$594.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.26 / $62.96 / $106.03	Professional	26	$55.26	$62.96	$106.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.74 / $278.29 / $516.86	Professional	TC	$137.74	$278.29	$516.86
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 $230.46 / $354.97 / $2,821.00	Professional		$230.46	$354.97	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $72.42 / $625.77	Professional	26	$54.76	$72.42	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $170.80 / $336.43 / $2,451.15	Professional	TC	$170.80	$336.43	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $304.64 / $596.03	Professional		$225.17	$304.64	$596.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $68.56 / $128.18	Professional	26	$54.76	$68.56	$128.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.80 / $215.96 / $445.00	Professional	TC	$170.80	$215.96	$445.00