Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.54 / $88.85 / $132.01	Facility	26	$73.54	$88.85	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $236.33 / $282.06	Professional		$171.32	$236.33	$282.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.50 / $71.23 / $89.41	Professional	26	$55.50	$71.23	$89.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $113.87 / $172.07 / $229.28	Professional	TC	$113.87	$172.07	$229.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $43.02 / $66.54	Professional	26	$42.58	$43.02	$66.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.53 / $376.53 / $376.53	Professional		$376.53	$376.53	$376.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.82 / $289.85 / $506.00	Professional		$141.82	$289.85	$506.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $81.03 / $108.92	Professional	26	$48.82	$81.03	$108.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.75 / $197.10 / $406.00	Professional	TC	$102.75	$197.10	$406.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $417.20 / $540.32 / $540.32	Facility	26	$417.20	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.65 / $337.42 / $1,882.38	Professional		$205.65	$337.42	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.88 / $85.19 / $434.24	Professional	26	$54.88	$85.19	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $139.72 / $268.12 / $1,906.00	Professional	TC	$139.72	$268.12	$1,906.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $300.97 / $413.95	Professional		$198.85	$300.97	$413.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.88 / $68.69 / $107.90	Professional	26	$54.88	$68.69	$107.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $207.29 / $349.83	Professional	TC	$136.41	$207.29	$349.83