Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $62.42 / $72.09	Facility	26	$46.26	$62.42	$72.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $184.90 / $247.65	Professional		$149.84	$184.90	$247.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.61 / $51.30 / $63.83	Professional	26	$46.61	$51.30	$63.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.93 / $127.89 / $177.61	Professional	TC	$101.93	$127.89	$177.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.02 / $242.02 / $242.02	Professional		$242.02	$242.02	$242.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $43.77 / $74.44	Professional	26	$35.02	$43.77	$74.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $164.15 / $225.40	Professional		$49.98	$164.15	$225.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.07 / $50.07 / $80.52	Facility	26	$50.07	$50.07	$80.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $203.28 / $315.08	Professional		$138.54	$203.28	$315.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $49.78 / $79.18	Professional	26	$41.59	$49.78	$79.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.51 / $150.49 / $237.69	Professional	TC	$96.51	$150.49	$237.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.11 / $220.05 / $1,378.78	Professional		$158.11	$220.05	$1,378.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $56.38 / $300.10	Professional	26	$44.45	$56.38	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $113.03 / $182.10 / $1,103.98	Professional	TC	$113.03	$182.10	$1,103.98
United Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $186.01 / $327.52	Professional		$157.93	$186.01	$327.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $51.25 / $76.88	Professional	26	$43.56	$51.25	$76.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.03 / $139.75 / $250.01	Professional	TC	$113.03	$139.75	$250.01