Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.06 / $79.58 / $94.08	Facility	26	$58.06	$79.58	$94.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $217.38 / $275.00	Professional		$171.00	$217.38	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.14 / $81.37	Professional	26	$51.30	$64.14	$81.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $153.24 / $181.10	Professional	TC	$119.70	$153.24	$181.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.82 / $45.82 / $45.82	Professional	26	$45.82	$45.82	$45.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $198.45 / $272.50	Professional		$59.85	$198.45	$272.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.49 / $58.49 / $93.89	Facility	26	$58.49	$58.49	$93.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $299.52 / $478.36	Professional		$169.84	$299.52	$478.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.96 / $59.30 / $99.88	Professional	26	$51.96	$59.30	$99.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.43 / $238.13 / $379.02	Professional	TC	$116.43	$238.13	$379.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $561.91 / $561.91	Facility	26	$434.48	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.52 / $304.16 / $2,293.84	Professional		$202.52	$304.16	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $68.22 / $523.40	Professional	26	$51.86	$68.22	$523.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $146.32 / $251.03 / $2,412.00	Professional	TC	$146.32	$251.03	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.52 / $256.06 / $449.23	Professional		$202.52	$256.06	$449.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $64.59 / $97.10	Professional	26	$51.86	$64.59	$97.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $201.82 / $330.47	Professional	TC	$142.94	$201.82	$330.47