Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.45 / $71.81 / $86.25	Facility	26	$53.45	$71.81	$86.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $221.36 / $301.37	Professional		$171.00	$221.36	$301.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $58.32 / $73.44	Professional	26	$51.30	$58.32	$73.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $163.04 / $222.12	Professional	TC	$119.70	$163.04	$222.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.75 / $40.75 / $68.77	Professional	26	$40.75	$40.75	$68.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $204.05 / $280.19	Professional		$54.95	$204.05	$280.19
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 $171.98 / $248.93 / $378.00	Professional		$171.98	$248.93	$378.00
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 $123.07 / $186.32 / $302.06	Professional	TC	$123.07	$186.32	$302.06
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 $196.65 / $271.10 / $1,627.19	Professional		$196.65	$271.10	$1,627.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $62.50 / $345.18	Professional	26	$47.03	$62.50	$345.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.22 / $225.68 / $1,330.47	Professional	TC	$144.22	$225.68	$1,330.47
United Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $228.15 / $407.04	Professional		$193.93	$228.15	$407.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $59.19 / $88.79	Professional	26	$47.03	$59.19	$88.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.50 / $173.42 / $319.95	Professional	TC	$143.50	$173.42	$319.95