Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $158.49 / $346.74	Facility	26	$151.36	$158.49	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $616.60	Professional		$251.19	$407.38	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $104.71 / $177.83	Professional	26	$70.79	$104.71	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $512.86	Professional	TC	$181.97	$288.40	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $123.03	Professional	26	$53.70	$53.70	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $812.83	Professional		$208.93	$446.68	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $186.21	Professional	26	$54.95	$89.13	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $354.81 / $645.65	Professional	TC	$162.18	$354.81	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $660.69	Facility	26	$512.86	$512.86	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $3,090.30	Professional		$269.15	$549.54	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $870.96	Professional	26	$54.95	$89.13	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $457.09 / $2,754.23	Professional	TC	$194.98	$457.09	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $630.96	Professional		$269.15	$416.87	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $123.03	Professional	26	$54.95	$77.62	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $302.00 / $562.34	Professional	TC	$194.98	$302.00	$562.34