Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.06 / $139.09 / $159.28	Facility	26	$101.06	$139.09	$159.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $418.32 / $512.36	Professional		$171.00	$418.32	$512.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $110.09 / $139.10	Professional	26	$51.30	$110.09	$139.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $308.23 / $421.11	Professional	TC	$119.70	$308.23	$421.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.42 / $96.77 / $130.63	Professional	26	$77.42	$96.77	$130.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $378.35 / $519.53	Professional		$103.60	$378.35	$519.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.00 / $165.00 / $165.00	Facility	26	$165.00	$165.00	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.74 / $491.29 / $738.23	Professional		$323.74	$491.29	$738.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.60 / $102.70 / $172.97	Professional	26	$86.60	$102.70	$172.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.81 / $359.13 / $606.00	Professional	TC	$231.81	$359.13	$606.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $757.60 / $969.20 / $969.20	Facility	26	$757.60	$969.20	$969.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.57 / $479.09 / $2,573.48	Professional		$353.57	$479.09	$2,573.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $111.88 / $653.20	Professional	26	$95.10	$111.88	$653.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.49 / $380.41 / $2,038.19	Professional	TC	$248.49	$380.41	$2,038.19
United Facility/Professional Professional Modifier Low / Median / High Price $349.71 / $444.33 / $731.81	Professional		$349.71	$444.33	$731.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.74 / $111.72 / $170.50	Professional	26	$93.74	$111.72	$170.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.67 / $323.50 / $574.80	Professional	TC	$244.67	$323.50	$574.80