Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $77.62 / $199.53	Facility	26	$63.10	$77.62	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $331.13	Professional		$125.89	$169.82	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $112.20	Professional	26	$41.69	$61.66	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $117.49 / $229.09	Professional	TC	$79.43	$117.49	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $100.00	Professional		$47.86	$95.50	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $37.15 / $70.79	Professional	26	$34.67	$37.15	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $426.58	Professional		$109.65	$229.09	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $66.07 / $138.04	Professional	26	$39.81	$66.07	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $158.49 / $288.40	Professional	TC	$75.86	$158.49	$288.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $446.68 / $446.68	Facility	26	$338.84	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $1,621.81	Professional		$158.49	$269.15	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $70.79 / $380.19	Professional	26	$50.12	$70.79	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $213.80 / $1,318.26	Professional	TC	$104.71	$213.80	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $346.74	Professional		$158.49	$234.42	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $56.23 / $91.20	Professional	26	$50.12	$56.23	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $154.88 / $251.19	Professional	TC	$102.33	$154.88	$251.19