Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $83.18 / $338.84	Facility	26	$63.10	$83.18	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $389.05	Professional		$138.04	$251.19	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $138.04	Professional	26	$51.29	$66.07	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $288.40	Professional	TC	$131.83	$190.55	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $87.10	Professional	26	$40.74	$54.95	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $204.17 / $281.84	Professional		$54.95	$204.17	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $85.11	Facility	26	$53.70	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $416.87	Professional		$173.78	$263.03	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $112.20	Professional	26	$45.71	$56.23	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $199.53 / $302.00	Professional	TC	$125.89	$199.53	$302.00
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 $194.98 / $269.15 / $1,621.81	Professional		$194.98	$269.15	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $346.74	Professional	26	$47.86	$63.10	$346.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $223.87 / $1,318.26	Professional	TC	$144.54	$223.87	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $426.58	Professional		$190.55	$234.42	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $89.13	Professional	26	$46.77	$58.88	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $173.78 / $331.13	Professional	TC	$141.25	$173.78	$331.13