Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.48 / $154.25 / $177.43	Facility	26	$103.48	$154.25	$177.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $495.98 / $780.74	Professional		$250.00	$495.98	$780.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $113.89 / $178.09	Professional	26	$62.50	$113.89	$178.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $382.10 / $602.65	Professional	TC	$187.50	$382.10	$602.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.89 / $79.89 / $79.89	Professional	26	$79.89	$79.89	$79.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $497.35 / $682.93	Professional		$106.75	$497.35	$682.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.34 / $104.34 / $166.57	Facility	26	$104.34	$104.34	$166.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.06 / $667.56 / $1,039.17	Professional		$402.06	$667.56	$1,039.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.76 / $105.38 / $177.47	Professional	26	$92.76	$105.38	$177.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $306.19 / $552.41 / $879.70	Professional	TC	$306.19	$552.41	$879.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $781.84 / $1,000.96 / $1,000.96	Facility	26	$781.84	$1,000.96	$1,000.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $674.74 / $5,967.97	Professional		$483.26	$674.74	$5,967.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $92.12 / $119.06 / $937.83	Professional	26	$92.12	$119.06	$937.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $389.34 / $674.19 / $5,400.50	Professional	TC	$389.34	$674.19	$5,400.50
United Facility/Professional Professional Modifier Low / Median / High Price $489.18 / $597.87 / $1,122.14	Professional		$489.18	$597.87	$1,122.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.12 / $114.76 / $205.92	Professional	26	$92.12	$114.76	$205.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.39 / $470.23 / $955.36	Professional	TC	$380.39	$470.23	$955.36