Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.34 / $72.54 / $97.43	Facility	26	$60.34	$72.54	$97.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $183.20 / $232.17	Professional		$131.30	$183.20	$232.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $58.00 / $88.07	Professional	26	$44.14	$58.00	$88.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.52 / $127.81 / $177.61	Professional	TC	$84.52	$127.81	$177.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $94.57 / $94.57	Professional		$94.57	$94.57	$94.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $34.89 / $50.14	Professional	26	$34.88	$34.89	$50.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.32 / $307.32 / $307.32	Professional		$307.32	$307.32	$307.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $231.52 / $484.00	Professional		$108.91	$231.52	$484.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $66.89 / $144.00	Professional	26	$40.14	$66.89	$144.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.06 / $150.08 / $340.00	Professional	TC	$76.06	$150.08	$340.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $272.08 / $1,609.32	Professional		$163.53	$272.08	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $71.45 / $379.76	Professional	26	$52.37	$71.45	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.41 / $219.62 / $1,318.35	Professional	TC	$109.41	$219.62	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $252.91 / $346.00	Professional		$158.07	$252.91	$346.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $62.78 / $91.85	Professional	26	$51.25	$62.78	$91.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $160.22 / $273.94	Professional	TC	$106.82	$160.22	$273.94