Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.79 / $87.29 / $129.62	Facility	26	$71.79	$87.29	$129.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $211.63 / $249.83	Professional		$138.69	$211.63	$249.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.57 / $69.58 / $87.29	Professional	26	$53.57	$69.58	$87.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.58 / $124.89 / $179.20	Professional	TC	$82.58	$124.89	$179.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $99.62 / $99.62	Professional		$99.62	$99.62	$99.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $41.57 / $59.77	Professional	26	$41.57	$41.57	$59.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $310.04 / $310.04	Professional		$310.04	$310.04	$310.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $224.86 / $525.00	Professional		$114.83	$224.86	$525.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.72 / $76.66 / $200.00	Professional	26	$47.72	$76.66	$200.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.33 / $147.28 / $325.00	Professional	TC	$74.33	$147.28	$325.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $407.44 / $527.60 / $527.60	Facility	26	$407.44	$527.60	$527.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $262.27 / $1,561.56	Professional		$157.19	$262.27	$1,561.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.16 / $83.22 / $386.35	Professional	26	$54.16	$83.22	$386.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.79 / $208.12 / $1,649.00	Professional	TC	$92.79	$208.12	$1,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $242.53 / $393.54	Professional		$151.58	$242.53	$393.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.16 / $67.09 / $105.33	Professional	26	$54.16	$67.09	$105.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $144.94 / $231.66	Professional	TC	$90.59	$144.94	$231.66