Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.70 / $177.22 / $199.56	Facility	26	$109.70	$177.22	$199.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $475.57 / $831.10	Professional		$470.00	$475.57	$831.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.19 / $139.15 / $210.92	Professional	26	$118.19	$139.15	$210.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $356.78 / $620.17	Professional	TC	$335.00	$356.78	$620.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.73 / $62.73 / $62.73	Professional	26	$62.73	$62.73	$62.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.42 / $590.42 / $590.42	Professional		$590.42	$590.42	$590.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.06 / $551.40 / $833.00	Professional		$280.06	$551.40	$833.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.52 / $124.25 / $159.62	Professional	26	$72.52	$124.25	$159.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.10 / $427.38 / $699.67	Professional	TC	$233.10	$427.38	$699.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $614.96 / $793.04 / $793.04	Facility	26	$614.96	$793.04	$793.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.69 / $604.24 / $3,032.66	Professional		$398.69	$604.24	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $82.49 / $112.25 / $854.80	Professional	26	$82.49	$112.25	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $304.55 / $477.54 / $2,562.41	Professional	TC	$304.55	$477.54	$2,562.41
United Facility/Professional Professional Modifier Low / Median / High Price $376.91 / $543.50 / $732.74	Professional		$376.91	$543.50	$732.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.49 / $100.69 / $155.84	Professional	26	$82.49	$100.69	$155.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.98 / $447.41 / $564.30	Professional	TC	$291.98	$447.41	$564.30