Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.17 / $113.36 / $131.91	Facility	26	$88.17	$113.36	$131.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $313.64 / $392.89	Professional		$171.00	$313.64	$392.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $91.57 / $115.92	Professional	26	$51.30	$91.57	$115.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $210.15 / $309.93	Professional	TC	$119.70	$210.15	$309.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.19 / $82.78 / $108.31	Professional	26	$64.19	$82.78	$108.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $319.42 / $319.42 / $319.42	Professional	TC	$319.42	$319.42	$319.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $279.64 / $384.00	Professional		$86.10	$279.64	$384.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.69 / $88.69 / $141.68	Facility	26	$88.69	$88.69	$141.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $368.47 / $598.16	Professional		$240.98	$368.47	$598.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.22 / $88.29 / $143.88	Professional	26	$76.22	$88.29	$143.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.75 / $288.58 / $468.26	Professional	TC	$164.75	$288.58	$468.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $627.76 / $804.96 / $804.96	Facility	26	$627.76	$804.96	$804.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $390.96 / $3,183.14	Professional		$273.13	$390.96	$3,183.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $102.42 / $1,009.00	Professional	26	$78.59	$102.42	$1,009.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $182.94 / $322.08 / $2,699.58	Professional	TC	$182.94	$322.08	$2,699.58
United Facility/Professional Professional Modifier Low / Median / High Price $267.82 / $338.62 / $602.04	Professional		$267.82	$338.62	$602.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $93.11 / $146.41	Professional	26	$78.59	$93.11	$146.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.52 / $246.94 / $421.94	Professional	TC	$182.52	$246.94	$421.94