Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.73 / $128.80 / $171.81	Facility	26	$87.73	$128.80	$171.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.13 / $370.50 / $490.57	Professional		$280.13	$370.50	$490.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.38 / $124.29 / $171.82	Professional	26	$89.38	$124.29	$171.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.36 / $259.35 / $335.00	Professional	TC	$183.36	$259.35	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.95 / $52.33 / $73.23	Professional	26	$50.95	$52.33	$73.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.79 / $468.79 / $468.79	Professional		$468.79	$468.79	$468.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $361.53 / $769.00	Professional		$164.80	$361.53	$769.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.28 / $91.65 / $132.00	Professional	26	$58.28	$91.65	$132.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.05 / $253.72 / $637.00	Professional	TC	$119.05	$253.72	$637.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $500.48 / $647.12 / $647.12	Facility	26	$500.48	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $485.51 / $2,831.41	Professional		$236.73	$485.51	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $103.80 / $579.54	Professional	26	$66.34	$103.80	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $157.46 / $419.16 / $2,465.48	Professional	TC	$157.46	$419.16	$2,465.48
United Facility/Professional Professional Modifier Low / Median / High Price $226.09 / $366.10 / $658.19	Professional		$226.09	$366.10	$658.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.34 / $82.58 / $142.51	Professional	26	$66.34	$82.58	$142.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.74 / $283.08 / $513.92	Professional	TC	$153.74	$283.08	$513.92