Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.07 / $66.06 / $321.32	Facility	26	$56.07	$66.06	$321.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.39 / $184.91 / $282.06	Professional		$169.39	$184.91	$282.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.07 / $77.81	Professional	26	$51.30	$61.07	$77.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.89 / $123.84 / $220.14	Professional	TC	$110.89	$123.84	$220.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.09 / $72.17 / $90.89	Professional	26	$53.09	$72.17	$90.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $169.40 / $232.61	Professional		$57.75	$169.40	$232.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $89.86	Facility	26	$55.98	$55.98	$89.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $247.48 / $397.25	Professional		$145.90	$247.48	$397.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $57.28 / $96.48	Professional	26	$49.98	$57.28	$96.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.58 / $189.99 / $306.80	Professional	TC	$94.58	$189.99	$306.80
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 $172.69 / $258.23 / $1,882.38	Professional		$172.69	$258.23	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $65.79 / $434.24	Professional	26	$49.28	$65.79	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $118.36 / $202.66 / $1,576.92	Professional	TC	$118.36	$202.66	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $230.65 / $380.90	Professional		$172.69	$230.65	$380.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $62.44 / $99.03	Professional	26	$49.28	$62.44	$99.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.36 / $156.44 / $267.33	Professional	TC	$118.36	$156.44	$267.33