Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.45 / $72.20 / $83.76	Facility	26	$53.45	$72.20	$83.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $245.17 / $299.31	Professional		$171.00	$245.17	$299.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $58.32 / $73.84	Professional	26	$51.30	$58.32	$73.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $186.85 / $221.08	Professional	TC	$119.70	$186.85	$221.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.19 / $229.19 / $229.19	Professional		$229.19	$229.19	$229.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.75 / $50.94 / $68.77	Professional	26	$40.75	$50.94	$68.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $228.90 / $314.31	Professional		$54.95	$228.90	$314.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.34 / $53.34 / $85.48	Facility	26	$53.34	$53.34	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $242.52 / $387.21	Professional		$192.64	$242.52	$387.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.71 / $54.32 / $91.49	Professional	26	$47.71	$54.32	$91.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.68 / $188.47 / $294.79	Professional	TC	$142.68	$188.47	$294.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $397.76 / $514.88 / $514.88	Facility	26	$397.76	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $286.58 / $1,817.09	Professional		$208.90	$286.58	$1,817.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $62.50 / $364.90	Professional	26	$47.35	$62.50	$364.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $149.41 / $236.74 / $1,526.12	Professional	TC	$149.41	$236.74	$1,526.12
United Facility/Professional Professional Modifier Low / Median / High Price $204.32 / $245.77 / $435.96	Professional		$204.32	$245.77	$435.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $59.19 / $94.43	Professional	26	$47.35	$59.19	$94.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.41 / $194.07 / $338.10	Professional	TC	$149.41	$194.07	$338.10