Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $199.53 / $407.38	Facility	26	$181.97	$199.53	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $676.08	Professional		$281.84	$426.58	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $213.80	Professional	26	$85.11	$131.83	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $302.00 / $501.19	Professional	TC	$194.98	$302.00	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $93.33	Professional	26	$63.10	$63.10	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $912.01	Professional		$229.09	$467.74	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $218.78	Professional	26	$72.44	$114.82	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $331.13 / $707.95	Professional	TC	$173.78	$331.13	$707.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $794.33 / $794.33	Facility	26	$616.60	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $3,467.37	Professional		$302.00	$602.56	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $676.08	Professional	26	$81.28	$117.49	$676.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $489.78 / $3,019.95	Professional	TC	$213.80	$489.78	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $741.31	Professional		$302.00	$501.19	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $100.00 / $165.96	Professional	26	$81.28	$100.00	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $331.13 / $602.56	Professional	TC	$213.80	$331.13	$602.56