Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.07 / $65.73 / $90.92	Facility	26	$56.07	$65.73	$90.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $186.62 / $300.00	Professional		$170.71	$186.62	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.73 / $78.23	Professional	26	$51.30	$61.73	$78.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.85 / $124.89 / $229.91	Professional	TC	$111.85	$124.89	$229.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.72 / $53.72 / $72.52	Professional	26	$53.72	$53.72	$72.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $170.45 / $234.05	Professional		$57.75	$170.45	$234.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.27 / $56.27 / $89.86	Facility	26	$56.27	$56.27	$89.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $248.01 / $397.59	Professional		$147.26	$248.01	$397.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.24 / $57.28 / $96.48	Professional	26	$50.24	$57.28	$96.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.68 / $190.25 / $308.76	Professional	TC	$95.68	$190.25	$308.76
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 $173.95 / $258.61 / $1,884.77	Professional		$173.95	$258.61	$1,884.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $64.20 / $434.24	Professional	26	$49.60	$64.20	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $119.63 / $204.39 / $1,950.00	Professional	TC	$119.63	$204.39	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $232.09 / $392.88	Professional		$173.95	$232.09	$392.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $61.15 / $93.32	Professional	26	$49.60	$61.15	$93.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.63 / $151.25 / $270.19	Professional	TC	$119.63	$151.25	$270.19