Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.23 / $132.53 / $176.08	Facility	26	$72.23	$132.53	$176.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.22 / $410.26 / $612.14	Professional		$350.22	$410.26	$612.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $116.12 / $176.08	Professional	26	$99.12	$116.12	$176.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.10 / $294.14 / $436.06	Professional	TC	$251.10	$294.14	$436.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.45 / $52.45 / $53.86	Professional	26	$52.45	$52.45	$53.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.62 / $521.62 / $521.62	Professional		$521.62	$521.62	$521.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.61 / $446.18 / $742.00	Professional		$206.61	$446.18	$742.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.54 / $91.52 / $133.41	Professional	26	$49.54	$91.52	$133.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.69 / $353.13 / $643.00	Professional	TC	$162.69	$353.13	$643.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $515.04 / $666.24 / $666.24	Facility	26	$515.04	$666.24	$666.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.55 / $553.74 / $3,076.60	Professional		$288.55	$553.74	$3,076.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $88.54 / $867.00	Professional	26	$54.52	$88.54	$867.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $207.37 / $499.22 / $2,747.24	Professional	TC	$207.37	$499.22	$2,747.24
United Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $419.00 / $647.11	Professional		$275.58	$419.00	$647.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $81.18 / $153.44	Professional	26	$54.52	$81.18	$153.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.05 / $344.18 / $610.08	Professional	TC	$198.05	$344.18	$610.08