Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $120.23 / $537.03	Facility	26	$95.50	$120.23	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $501.19	Professional		$239.88	$316.23	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $208.93	Professional	26	$66.07	$102.33	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $213.80 / $354.81	Professional	TC	$158.49	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $134.90	Professional	26	$64.57	$64.57	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $302.00 / $416.87	Professional		$85.11	$302.00	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $141.25	Facility	26	$87.10	$87.10	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $645.65	Professional		$263.03	$416.87	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $91.20 / $154.88	Professional	26	$75.86	$91.20	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $331.13 / $512.86	Professional	TC	$186.21	$331.13	$512.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $794.33 / $794.33	Facility	26	$630.96	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $3,090.30	Professional		$281.84	$416.87	$3,090.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $660.69	Professional	26	$77.62	$102.33	$660.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $354.81 / $2,630.27	Professional	TC	$194.98	$354.81	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $660.69	Professional		$275.42	$346.74	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $93.33 / $138.04	Professional	26	$77.62	$93.33	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $245.47 / $524.81	Professional	TC	$190.55	$245.47	$524.81