Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.76 / $74.73 / $85.80	Facility	26	$54.76	$74.73	$85.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $171.00 / $249.83	Professional		$137.72	$171.00	$249.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $59.70 / $76.41	Professional	26	$51.30	$59.70	$76.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.59 / $103.76 / $195.40	Professional	TC	$80.59	$103.76	$195.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $44.37 / $70.47	Professional	26	$41.76	$44.37	$70.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $137.19 / $188.40	Professional		$59.71	$137.19	$188.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.66 / $54.66 / $87.67	Facility	26	$54.66	$54.66	$87.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $197.35 / $316.98	Professional		$118.28	$197.35	$316.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.84 / $55.95 / $94.23	Professional	26	$48.84	$55.95	$94.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.20 / $128.40 / $231.16	Professional	TC	$68.20	$128.40	$231.16
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 $135.13 / $193.05 / $1,561.56	Professional		$135.13	$193.05	$1,561.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $64.40 / $386.35	Professional	26	$48.64	$64.40	$386.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.81 / $145.72 / $1,649.00	Professional	TC	$78.81	$145.72	$1,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.87 / $159.56 / $297.86	Professional		$131.87	$159.56	$297.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $60.99 / $91.49	Professional	26	$48.64	$60.99	$91.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.81 / $99.65 / $191.97	Professional	TC	$78.81	$99.65	$191.97