Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.54 / $89.12 / $132.69	Facility	26	$73.54	$89.12	$132.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $237.07 / $282.68	Professional		$172.29	$237.07	$282.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $71.63 / $89.68	Professional	26	$52.78	$71.63	$89.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.52 / $173.05 / $229.91	Professional	TC	$114.52	$173.05	$229.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.72 / $43.23 / $66.76	Professional	26	$42.72	$43.23	$66.76
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 $142.63 / $295.98 / $506.00	Professional		$142.63	$295.98	$506.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $81.99 / $108.92	Professional	26	$48.82	$81.99	$108.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.62 / $197.68 / $406.00	Professional	TC	$103.62	$197.68	$406.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $419.92 / $542.79 / $542.79	Facility	26	$419.92	$542.79	$542.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.76 / $338.22 / $1,884.77	Professional		$206.76	$338.22	$1,884.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $85.19 / $434.24	Professional	26	$55.22	$85.19	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $140.83 / $268.47 / $1,950.00	Professional	TC	$140.83	$268.47	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $290.27 / $428.36	Professional		$199.94	$290.27	$428.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $68.68 / $108.26	Professional	26	$55.22	$68.68	$108.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $233.75 / $314.44	Professional	TC	$137.50	$233.75	$314.44