Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.01 / $97.28 / $473.15	Facility	26	$83.01	$97.28	$473.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $368.31 / $586.63	Professional		$250.00	$368.31	$586.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $90.53 / $142.34	Professional	26	$62.50	$90.53	$142.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $277.77 / $444.29	Professional	TC	$187.50	$277.77	$444.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.57 / $94.57 / $94.57	Professional	26	$94.57	$94.57	$94.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $346.50 / $475.79	Professional		$85.40	$346.50	$475.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.83 / $83.83 / $133.76	Facility	26	$83.83	$83.83	$133.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.11 / $455.36 / $705.81	Professional		$286.11	$455.36	$705.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.56 / $84.21 / $141.77	Professional	26	$74.56	$84.21	$141.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.46 / $367.23 / $571.22	Professional	TC	$210.46	$367.23	$571.22
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 $339.41 / $465.11 / $3,032.66	Professional		$339.41	$465.11	$3,032.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $95.78 / $854.80	Professional	26	$74.09	$95.78	$854.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $259.66 / $429.94 / $2,562.41	Professional	TC	$259.66	$429.94	$2,562.41
United Facility/Professional Professional Modifier Low / Median / High Price $339.41 / $421.61 / $666.73	Professional		$339.41	$421.61	$666.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $91.67 / $137.51	Professional	26	$74.09	$91.67	$137.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.66 / $312.32 / $537.96	Professional	TC	$259.66	$312.32	$537.96