Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.54 / $88.36 / $132.01	Facility	26	$73.54	$88.36	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $284.33 / $350.87	Professional		$197.78	$284.33	$350.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $70.84 / $88.92	Professional	26	$52.78	$70.84	$88.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.65 / $212.63 / $298.10	Professional	TC	$140.65	$212.63	$298.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $60.88 / $60.88	Professional	26	$42.39	$60.88	$60.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $409.64 / $409.64	Professional		$409.64	$409.64	$409.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $348.05 / $590.00	Professional		$163.63	$348.05	$590.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $80.53 / $108.28	Professional	26	$48.82	$80.53	$108.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.89 / $249.79 / $489.00	Professional	TC	$126.89	$249.79	$489.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $414.72 / $537.20 / $537.20	Facility	26	$414.72	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.47 / $402.24 / $2,082.64	Professional		$244.47	$402.24	$2,082.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.23 / $84.70 / $381.41	Professional	26	$55.23	$84.70	$381.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $178.91 / $322.72 / $1,754.89	Professional	TC	$178.91	$322.72	$1,754.89
United Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $353.88 / $454.57	Professional		$236.75	$353.88	$454.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.23 / $72.17 / $107.54	Professional	26	$55.23	$72.17	$107.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $244.55 / $356.69	Professional	TC	$174.68	$244.55	$356.69