Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.87 / $79.40 / $107.15	Facility	26	$65.87	$79.40	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $205.75 / $236.72	Professional		$134.97	$205.75	$236.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.55 / $65.87 / $100.52	Professional	26	$49.55	$65.87	$100.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.55 / $126.35 / $173.87	Professional	TC	$83.55	$126.35	$173.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $97.03 / $97.03	Professional		$97.03	$97.03	$97.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $49.60 / $54.69	Professional	26	$38.04	$49.60	$54.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.10 / $294.10 / $294.10	Professional		$294.10	$294.10	$294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $219.48 / $469.00	Professional		$111.73	$219.48	$469.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.17 / $72.84 / $129.00	Professional	26	$43.17	$72.84	$129.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.20 / $148.13 / $340.00	Professional	TC	$75.20	$148.13	$340.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $373.44 / $482.96 / $482.96	Facility	26	$373.44	$482.96	$482.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $262.18 / $1,593.12	Professional		$152.96	$262.18	$1,593.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.51 / $75.83 / $325.83	Professional	26	$49.51	$75.83	$325.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $94.27 / $212.67 / $1,318.35	Professional	TC	$94.27	$212.67	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $215.97 / $327.68	Professional		$147.61	$215.97	$327.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.51 / $61.14 / $96.37	Professional	26	$49.51	$61.14	$96.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.03 / $162.15 / $236.03	Professional	TC	$92.03	$162.15	$236.03