Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.54 / $88.84 / $132.01	Facility	26	$73.54	$88.84	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $236.70 / $282.06	Professional		$171.00	$236.70	$282.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $71.23 / $89.41	Professional	26	$52.46	$71.23	$89.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $113.55 / $171.58 / $229.59	Professional	TC	$113.55	$171.58	$229.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $61.21 / $66.54	Professional	26	$42.58	$61.21	$66.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.86 / $376.86 / $376.86	Professional		$376.86	$376.86	$376.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $295.67 / $506.00	Professional		$141.55	$295.67	$506.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $81.03 / $108.92	Professional	26	$48.82	$81.03	$108.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.75 / $197.68 / $406.00	Professional	TC	$102.75	$197.68	$406.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $417.20 / $540.32 / $540.32	Facility	26	$417.20	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.29 / $337.43 / $1,882.38	Professional		$205.29	$337.43	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $85.19 / $434.24	Professional	26	$54.87	$85.19	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $139.36 / $268.47 / $1,576.92	Professional	TC	$139.36	$268.47	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $300.44 / $427.09	Professional		$198.49	$300.44	$427.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $71.91 / $144.93	Professional	26	$54.87	$71.91	$144.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.05 / $195.65 / $314.44	Professional	TC	$136.05	$195.65	$314.44