Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.10 / $81.47 / $94.97	Facility	26	$55.10	$81.47	$94.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $275.00 / $475.00	Professional		$222.03	$275.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $68.75 / $140.00	Professional	26	$59.12	$68.75	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.90 / $206.25 / $335.00	Professional	TC	$162.90	$206.25	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.83 / $70.90 / $89.29	Professional	26	$41.83	$70.90	$89.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $220.15 / $302.30	Professional		$59.54	$220.15	$302.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $55.00 / $88.72	Facility	26	$55.00	$55.00	$88.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $381.16 / $638.77	Professional		$185.37	$381.16	$638.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.13 / $56.29 / $94.81	Professional	26	$49.13	$56.29	$94.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.94 / $296.29 / $567.79	Professional	TC	$134.94	$296.29	$567.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $409.92 / $530.79 / $530.79	Facility	26	$409.92	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.65 / $355.55 / $2,968.23	Professional		$216.65	$355.55	$2,968.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $63.08 / $505.24	Professional	26	$48.96	$63.08	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $163.27 / $320.73 / $2,638.88	Professional	TC	$163.27	$320.73	$2,638.88
United Facility/Professional Professional Modifier Low / Median / High Price $216.65 / $286.37 / $546.33	Professional		$216.65	$286.37	$546.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $61.35 / $104.85	Professional	26	$48.96	$61.35	$104.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.27 / $209.63 / $448.04	Professional	TC	$163.27	$209.63	$448.04