Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $128.82 / $537.03	Facility	26	$97.72	$128.82	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $812.83	Professional		$323.59	$467.74	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $186.21	Professional	26	$67.61	$114.82	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $645.65	Professional	TC	$251.19	$338.84	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $109.65	Professional	26	$52.48	$67.61	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $331.13 / $457.09	Professional		$69.18	$331.13	$457.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $131.83	Facility	26	$83.18	$83.18	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $1,071.52	Professional		$323.59	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $87.10 / $147.91	Professional	26	$63.10	$87.10	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $602.56 / $933.25	Professional	TC	$251.19	$602.56	$933.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $660.69 / $660.69	Facility	26	$512.86	$660.69	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $5,370.32	Professional		$331.13	$537.03	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $89.13 / $812.83	Professional	26	$66.07	$89.13	$812.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $512.86 / $4,897.79	Professional	TC	$263.03	$512.86	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $1,023.29	Professional		$323.59	$416.87	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $117.49	Professional	26	$64.57	$75.86	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $933.25	Professional	TC	$257.04	$338.84	$933.25