Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $114.82 / $251.19	Facility	26	$79.43	$114.82	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $371.54	Professional		$120.23	$208.93	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $138.04	Professional	26	$51.29	$70.79	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $154.88 / $281.84	Professional	TC	$114.82	$154.88	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $281.84	Professional		$120.23	$147.91	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $42.66 / $63.10	Professional	26	$40.74	$42.66	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $512.86	Professional		$141.25	$281.84	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $72.44 / $144.54	Professional	26	$46.77	$72.44	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $194.98 / $380.19	Professional	TC	$102.33	$194.98	$380.19
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 / $316.23 / $1,621.81	Professional		$194.98	$316.23	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $380.19	Professional	26	$52.48	$77.62	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $245.47 / $1,348.96	Professional	TC	$138.04	$245.47	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $389.05	Professional		$194.98	$275.42	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $100.00	Professional	26	$52.48	$64.57	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $199.53 / $295.12	Professional	TC	$138.04	$199.53	$295.12