Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.19 / $101.89 / $495.57	Facility	26	$87.19	$101.89	$495.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $281.82 / $438.26	Professional		$171.00	$281.82	$438.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $94.66 / $119.69	Professional	26	$51.30	$94.66	$119.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $187.16 / $327.87	Professional	TC	$119.70	$187.16	$327.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $140.97	Professional	26	$112.20	$112.20	$140.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $325.85 / $447.44	Professional		$88.90	$325.85	$447.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.37 / $88.37 / $139.84	Facility	26	$88.37	$88.37	$139.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.07 / $394.58 / $611.60	Professional		$278.07	$394.58	$611.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.42 / $88.40 / $148.50	Professional	26	$78.42	$88.40	$148.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.28 / $306.18 / $474.58	Professional	TC	$198.28	$306.18	$474.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $649.67 / $833.76 / $833.76	Facility	26	$649.67	$833.76	$833.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.41 / $452.01 / $2,878.66	Professional		$316.41	$452.01	$2,878.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $100.93 / $561.99	Professional	26	$77.95	$100.93	$561.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $225.45 / $376.53 / $2,400.63	Professional	TC	$225.45	$376.53	$2,400.63
United Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $389.77 / $649.05	Professional		$313.98	$389.77	$649.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $96.00 / $144.00	Professional	26	$77.95	$96.00	$144.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.45 / $273.73 / $508.34	Professional	TC	$225.45	$273.73	$508.34