Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $81.28 / $354.81	Facility	26	$66.07	$81.28	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $346.74	Professional		$169.82	$218.78	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $141.25	Professional	26	$52.48	$69.18	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $144.54 / $263.03	Professional	TC	$114.82	$144.54	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $75.86 / $95.50	Professional	26	$43.65	$75.86	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $169.82 / $234.42	Professional		$57.54	$169.82	$234.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $89.13	Facility	26	$56.23	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $407.38	Professional		$162.18	$269.15	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $60.26 / $112.20	Professional	26	$47.86	$60.26	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $194.98 / $309.03	Professional	TC	$109.65	$194.98	$309.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $537.03 / $537.03	Facility	26	$416.87	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $1,905.46	Professional		$173.78	$251.19	$1,905.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $436.52	Professional	26	$50.12	$66.07	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $204.17 / $1,949.84	Professional	TC	$120.23	$204.17	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $426.58	Professional		$169.82	$223.87	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $93.33	Professional	26	$50.12	$63.10	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $154.88 / $331.13	Professional	TC	$117.49	$154.88	$331.13