Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $177.83 / $398.11	Facility	26	$123.03	$177.83	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $512.86	Professional		$245.47	$323.59	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $114.82 / $204.17	Professional	26	$77.62	$114.82	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $213.80 / $354.81	Professional	TC	$162.18	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $67.61 / $112.20	Professional	26	$63.10	$67.61	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $831.76	Professional		$257.04	$457.09	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $165.96	Professional	26	$75.86	$112.20	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $354.81 / $676.08	Professional	TC	$186.21	$354.81	$676.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $794.33	Facility	26	$630.96	$630.96	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $3,090.30	Professional		$316.23	$512.86	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $660.69	Professional	26	$85.11	$123.03	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $426.58 / $2,630.27	Professional	TC	$223.87	$426.58	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $660.69	Professional		$316.23	$467.74	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $102.33 / $158.49	Professional	26	$85.11	$102.33	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $346.74 / $524.81	Professional	TC	$223.87	$346.74	$524.81