Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.07 / $76.11 / $90.44	Facility	26	$56.07	$76.11	$90.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $198.32 / $300.00	Professional		$169.71	$198.32	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.07 / $77.81	Professional	26	$51.30	$61.07	$77.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.21 / $128.66 / $229.28	Professional	TC	$111.21	$128.66	$229.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.46 / $72.17 / $90.89	Professional	26	$53.46	$72.17	$90.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $169.40 / $232.61	Professional		$60.64	$169.40	$232.61
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 $146.44 / $247.54 / $396.69	Professional		$146.44	$247.54	$396.69
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 $95.13 / $189.74 / $306.80	Professional	TC	$95.13	$189.74	$306.80
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 $173.00 / $257.83 / $1,882.38	Professional		$173.00	$257.83	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $64.20 / $434.24	Professional	26	$49.28	$64.20	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $118.68 / $203.23 / $1,906.00	Professional	TC	$118.68	$203.23	$1,906.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $231.01 / $390.74	Professional		$173.00	$231.01	$390.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $62.44 / $93.66	Professional	26	$49.28	$62.44	$93.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.68 / $150.05 / $268.05	Professional	TC	$118.68	$150.05	$268.05