Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.69 / $67.78 / $78.68	Facility	26	$49.69	$67.78	$78.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $171.00 / $246.41	Professional		$133.91	$171.00	$246.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $54.88 / $69.31	Professional	26	$49.60	$54.88	$69.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.56 / $104.98 / $196.81	Professional	TC	$81.56	$104.98	$196.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.25 / $47.81 / $64.54	Professional	26	$38.25	$47.81	$64.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $133.69 / $183.59	Professional		$51.45	$133.69	$183.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.36 / $50.36 / $80.52	Facility	26	$50.36	$50.36	$80.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $194.08 / $310.02	Professional		$114.94	$194.08	$310.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.50 / $51.01 / $85.91	Professional	26	$44.50	$51.01	$85.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.30 / $130.44 / $232.06	Professional	TC	$69.30	$130.44	$232.06
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 $131.33 / $187.62 / $1,593.12	Professional		$131.33	$187.62	$1,593.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $59.34 / $325.83	Professional	26	$44.45	$59.34	$325.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.06 / $147.18 / $1,318.35	Professional	TC	$80.06	$147.18	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $155.94 / $290.05	Professional		$128.41	$155.94	$290.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $55.58 / $88.67	Professional	26	$44.45	$55.58	$88.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.06 / $101.23 / $196.16	Professional	TC	$80.06	$101.23	$196.16