Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $141.25 / $524.81	Facility	26	$87.10	$141.25	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $660.69	Professional		$263.03	$426.58	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $199.53	Professional	26	$81.28	$117.49	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $302.00 / $457.09	Professional	TC	$186.21	$302.00	$457.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $281.84 / $389.05	Professional		$85.11	$281.84	$389.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $131.83	Facility	26	$81.28	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $707.95	Professional		$245.47	$457.09	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $169.82	Professional	26	$70.79	$87.10	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $380.19 / $575.44	Professional	TC	$173.78	$380.19	$575.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $794.33 / $794.33	Facility	26	$616.60	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $3,467.37	Professional		$269.15	$398.11	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $660.69	Professional	26	$72.44	$97.72	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $371.54 / $3,019.95	Professional	TC	$194.98	$371.54	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $794.33	Professional		$269.15	$346.74	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $91.20 / $138.04	Professional	26	$72.44	$91.20	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $234.42 / $676.08	Professional	TC	$190.55	$234.42	$676.08