Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.75 / $96.79 / $470.75	Facility	26	$88.75	$96.79	$470.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $303.66 / $483.24	Professional		$250.00	$303.66	$483.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $90.56 / $141.77	Professional	26	$62.50	$90.56	$141.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $213.10 / $341.47	Professional	TC	$187.50	$213.10	$341.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $70.09 / $134.27	Professional	26	$70.09	$70.09	$134.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $284.89 / $391.21	Professional		$84.70	$284.89	$391.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.11 / $88.11 / $142.16	Facility	26	$88.11	$88.11	$142.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $447.14 / $713.13	Professional		$237.57	$447.14	$713.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.20 / $87.99 / $141.72	Professional	26	$75.20	$87.99	$141.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.51 / $324.33 / $581.23	Professional	TC	$161.51	$324.33	$581.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $620.48 / $795.36 / $795.36	Facility	26	$620.48	$795.36	$795.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.82 / $422.04 / $3,482.54	Professional		$278.82	$422.04	$3,482.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.27 / $100.64 / $642.27	Professional	26	$78.27	$100.64	$642.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.06 / $392.09 / $2,996.90	Professional	TC	$199.06	$392.09	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $278.82 / $346.12 / $721.08	Professional		$278.82	$346.12	$721.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.27 / $91.67 / $169.88	Professional	26	$78.27	$91.67	$169.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.06 / $240.41 / $479.93	Professional	TC	$199.06	$240.41	$479.93