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 $130.09 / $167.81 / $247.65	Professional		$130.09	$167.81	$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 $82.19 / $105.38 / $201.03	Professional	TC	$82.19	$105.38	$201.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $196.97 / $196.97	Professional		$196.97	$196.97	$196.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $44.81 / $59.09	Professional	26	$35.02	$44.81	$59.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $129.85 / $178.30	Professional		$47.60	$129.85	$178.30
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 $112.55 / $195.88 / $312.08	Professional		$112.55	$195.88	$312.08
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 $70.53 / $148.29 / $235.47	Professional	TC	$70.53	$148.29	$235.47
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 $136.77 / $199.83 / $1,378.78	Professional		$136.77	$199.83	$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 $92.30 / $156.21 / $1,332.00	Professional	TC	$92.30	$156.21	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $173.09 / $301.95	Professional		$136.88	$173.09	$301.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.45 / $51.25 / $82.80	Professional	26	$44.45	$51.25	$82.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.30 / $116.71 / $208.49	Professional	TC	$92.30	$116.71	$208.49