Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $125.89 / $275.42	Facility	26	$93.33	$125.89	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $398.11	Professional		$190.55	$257.04	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $107.15	Professional	26	$54.95	$64.57	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $177.83 / $323.59	Professional	TC	$134.90	$177.83	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	26	$52.48	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $616.60	Professional		$165.96	$354.81	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $123.03	Professional	26	$51.29	$79.43	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $467.74	Professional	TC	$125.89	$251.19	$467.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Facility	26	$436.52	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $2,290.87	Professional		$234.42	$407.38	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $524.81	Professional	26	$57.54	$83.18	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $338.84 / $2,398.83	Professional	TC	$169.82	$338.84	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $501.19	Professional		$234.42	$346.74	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $109.65	Professional	26	$57.54	$70.79	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $251.19 / $389.05	Professional	TC	$169.82	$251.19	$389.05