Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.39 / $81.06 / $103.85	Facility	26	$55.39	$81.06	$103.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $275.00 / $475.00	Professional		$222.36	$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 $163.22 / $206.25 / $335.00	Professional	TC	$163.22	$206.25	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $42.25 / $89.78	Professional	26	$42.25	$42.25	$89.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $220.85 / $303.26	Professional		$60.08	$220.85	$303.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $55.00 / $88.23	Facility	26	$55.00	$55.00	$88.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.92 / $380.41 / $637.24	Professional		$185.92	$380.41	$637.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.13 / $56.60 / $95.32	Professional	26	$49.13	$56.60	$95.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.22 / $297.43 / $566.26	Professional	TC	$135.22	$297.43	$566.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $412.32 / $530.79 / $530.79	Facility	26	$412.32	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.59 / $357.13 / $2,961.02	Professional		$217.59	$357.13	$2,961.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $63.07 / $505.24	Professional	26	$48.64	$63.07	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $163.90 / $321.95 / $2,631.72	Professional	TC	$163.90	$321.95	$2,631.72
United Facility/Professional Professional Modifier Low / Median / High Price $217.59 / $283.63 / $544.97	Professional		$217.59	$283.63	$544.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $61.71 / $90.60	Professional	26	$48.64	$61.71	$90.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.90 / $216.65 / $484.90	Professional	TC	$163.90	$216.65	$484.90