Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.67 / $130.40 / $142.03	Facility	26	$82.67	$130.40	$142.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $380.57 / $602.67	Professional		$250.00	$380.57	$602.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $90.89 / $142.88	Professional	26	$62.50	$90.89	$142.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $289.68 / $459.79	Professional	TC	$187.50	$289.68	$459.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $134.33 / $141.30	Professional	26	$62.78	$134.33	$141.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $352.45 / $483.96	Professional		$85.40	$352.45	$483.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.61 / $82.61 / $132.69	Facility	26	$82.61	$82.61	$132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.87 / $579.30 / $1,026.83	Professional		$296.87	$579.30	$1,026.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.73 / $84.74 / $142.72	Professional	26	$73.73	$84.74	$142.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.97 / $479.25 / $940.64	Professional	TC	$220.97	$479.25	$940.64
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $617.36 / $796.16 / $796.16	Facility	26	$617.36	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $344.43 / $545.50 / $5,311.18	Professional		$344.43	$545.50	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $94.31 / $808.00	Professional	26	$73.44	$94.31	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $264.05 / $518.70 / $4,858.99	Professional	TC	$264.05	$518.70	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $344.43 / $436.44 / $877.87	Professional		$344.43	$436.44	$877.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $92.39 / $138.59	Professional	26	$73.44	$92.39	$138.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.98 / $349.04 / $757.25	Professional	TC	$257.98	$349.04	$757.25