Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.65 / $79.63 / $91.87	Facility	26	$58.65	$79.63	$91.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $282.74 / $312.88	Professional		$171.00	$282.74	$312.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.14 / $81.42	Professional	26	$51.30	$64.14	$81.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $209.87 / $248.90	Professional	TC	$119.70	$209.87	$248.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.73 / $44.73 / $75.48	Professional	26	$44.73	$44.73	$75.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $195.88 / $195.88 / $195.88	Professional	TC	$195.88	$195.88	$195.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $233.10 / $320.08	Professional		$59.85	$233.10	$320.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.78 / $58.78 / $93.89	Facility	26	$58.78	$58.78	$93.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.27 / $276.86 / $429.13	Professional		$196.27	$276.86	$429.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.22 / $59.91 / $100.90	Professional	26	$52.22	$59.91	$100.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.07 / $214.10 / $324.52	Professional	TC	$142.07	$214.10	$324.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $565.04 / $565.04	Facility	26	$436.88	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $305.66 / $1,846.75	Professional		$213.50	$305.66	$1,846.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $69.48 / $444.14	Professional	26	$52.18	$69.48	$444.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $148.78 / $256.70 / $2,104.00	Professional	TC	$148.78	$256.70	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $259.33 / $446.22	Professional		$210.72	$259.33	$446.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $65.31 / $100.00	Professional	26	$52.18	$65.31	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.68 / $189.26 / $342.71	Professional	TC	$148.68	$189.26	$342.71