Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.76 / $62.42 / $72.09	Facility	26	$45.76	$62.42	$72.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $168.21 / $221.75	Professional		$130.41	$168.21	$221.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $51.30 / $63.83	Professional	26	$46.89	$51.30	$63.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.51 / $105.79 / $177.61	Professional	TC	$82.51	$105.79	$177.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $43.77 / $59.09	Professional	26	$35.02	$43.77	$59.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $130.19 / $178.78	Professional		$49.98	$130.19	$178.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.34 / $53.34 / $85.48	Facility	26	$53.34	$53.34	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $200.85 / $320.18	Professional		$112.55	$200.85	$320.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $53.05 / $79.18	Professional	26	$41.59	$53.05	$79.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.53 / $151.43 / $247.87	Professional	TC	$70.53	$151.43	$247.87
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 $137.31 / $200.75 / $1,609.32	Professional		$137.31	$200.75	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $58.10 / $379.76	Professional	26	$44.59	$58.10	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.93 / $157.27 / $1,318.35	Professional	TC	$92.93	$157.27	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $176.57 / $308.37	Professional		$134.36	$176.57	$308.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $51.25 / $80.59	Professional	26	$44.59	$51.25	$80.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.46 / $116.17 / $209.90	Professional	TC	$85.46	$116.17	$209.90