Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.92 / $116.83 / $133.56	Facility	26	$82.92	$116.83	$133.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $362.71 / $574.71	Professional		$250.00	$362.71	$574.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $74.43 / $140.00	Professional	26	$62.50	$74.43	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $288.27 / $457.03	Professional	TC	$187.50	$288.27	$457.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.99 / $51.99 / $110.36	Professional	26	$51.99	$51.99	$110.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $334.95 / $459.93	Professional		$69.65	$334.95	$459.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.61 / $82.61 / $132.69	Facility	26	$82.61	$82.61	$132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $575.91 / $1,026.83	Professional		$282.52	$575.91	$1,026.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.39 / $82.62 / $129.47	Professional	26	$62.39	$82.62	$129.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.14 / $475.82 / $937.48	Professional	TC	$220.14	$475.82	$937.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $507.76 / $656.72 / $656.72	Facility	26	$507.76	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.43 / $542.33 / $5,311.18	Professional		$328.43	$542.33	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.26 / $88.13 / $808.00	Professional	26	$66.26	$88.13	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $262.17 / $515.01 / $4,858.99	Professional	TC	$262.17	$515.01	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $416.16 / $862.81	Professional		$320.88	$416.16	$862.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $76.15 / $114.00	Professional	26	$64.73	$76.15	$114.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.17 / $350.70 / $772.76	Professional	TC	$262.17	$350.70	$772.76