Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $117.49 / $354.81	Facility	26	$58.88	$117.49	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $112.20 / $186.21	Professional	26	$69.18	$112.20	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $281.84 / $436.52	Professional	TC	$177.83	$281.84	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	26	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $251.19 / $338.84	Professional		$70.79	$251.19	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $89.13	Facility	26	$54.95	$54.95	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $707.95	Professional		$239.88	$446.68	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $134.90	Professional	26	$46.77	$67.61	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $389.05 / $616.60	Professional	TC	$169.82	$389.05	$616.60
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 $245.47 / $371.54 / $3,090.30	Professional		$245.47	$371.54	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $870.96	Professional	26	$53.70	$77.62	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $346.74 / $2,754.23	Professional	TC	$177.83	$346.74	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $660.69	Professional		$239.88	$309.03	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $91.20	Professional	26	$48.98	$72.44	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $234.42 / $602.56	Professional	TC	$173.78	$234.42	$602.56