Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $91.20 / $371.54	Facility	26	$63.10	$91.20	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $389.05	Professional		$186.21	$251.19	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $93.33	Professional	26	$51.29	$61.66	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $173.78 / $302.00	Professional	TC	$128.82	$173.78	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $56.23	Professional	26	$45.71	$45.71	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $199.53 / $275.42	Professional		$60.26	$199.53	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $93.33	Facility	26	$58.88	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $489.78	Professional		$190.55	$309.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $120.23	Professional	26	$50.12	$61.66	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $245.47 / $389.05	Professional	TC	$134.90	$245.47	$389.05
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 $204.17 / $295.12 / $2,290.87	Professional		$204.17	$295.12	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $524.81	Professional	26	$51.29	$69.18	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $251.19 / $2,398.83	Professional	TC	$147.91	$251.19	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $524.81	Professional		$199.53	$263.03	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $97.72	Professional	26	$51.29	$64.57	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $186.21 / $416.87	Professional	TC	$144.54	$186.21	$416.87