Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $114.82 / $251.19	Facility	26	$79.43	$114.82	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $467.74	Professional		$213.80	$281.84	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $128.82	Professional	26	$52.48	$70.79	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $213.80 / $346.74	Professional	TC	$162.18	$213.80	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $354.81	Professional		$162.18	$245.47	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $45.71 / $67.61	Professional	26	$40.74	$45.71	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $537.03	Professional		$186.21	$331.13	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $72.44 / $134.90	Professional	26	$46.77	$72.44	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $263.03 / $416.87	Professional	TC	$144.54	$263.03	$416.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $398.11 / $512.86 / $512.86	Facility	26	$398.11	$512.86	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $1,819.70	Professional		$239.88	$363.08	$1,819.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $363.08	Professional	26	$52.48	$77.62	$363.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $275.42 / $1,513.56	Professional	TC	$177.83	$275.42	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $436.52	Professional		$239.88	$309.03	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $100.00	Professional	26	$52.48	$64.57	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $245.47 / $331.13	Professional	TC	$177.83	$245.47	$331.13