Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.37 / $156.97 / $198.69	Facility	26	$107.37	$156.97	$198.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.08 / $452.27 / $675.77	Professional		$383.08	$452.27	$675.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $138.54 / $209.89	Professional	26	$111.15	$138.54	$209.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.52 / $313.73 / $465.88	Professional	TC	$263.52	$313.73	$465.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.70 / $82.01 / $90.13	Professional	26	$62.70	$82.01	$90.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Professional		$525.00	$525.00	$525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.49 / $471.67 / $920.00	Professional		$227.49	$471.67	$920.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.75 / $123.71 / $160.26	Professional	26	$71.75	$123.71	$160.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $174.93 / $341.94 / $772.00	Professional	TC	$174.93	$341.94	$772.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $792.16 / $792.16	Facility	26	$618.08	$792.16	$792.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $600.49 / $3,447.72	Professional		$324.88	$600.49	$3,447.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $120.25 / $665.40	Professional	26	$81.06	$120.25	$665.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $229.56 / $519.41 / $2,996.90	Professional	TC	$229.56	$519.41	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $311.32 / $520.29 / $734.48	Professional		$311.32	$520.29	$734.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $100.44 / $173.32	Professional	26	$81.06	$100.44	$173.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.24 / $336.16 / $623.60	Professional	TC	$219.24	$336.16	$623.60