Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.81 / $98.68 / $125.91	Facility	26	$66.81	$98.68	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $275.00 / $475.00	Professional		$202.93	$275.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $73.75 / $140.00	Professional	26	$62.50	$73.75	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.76 / $206.25 / $335.00	Professional	TC	$130.76	$206.25	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.24 / $56.90 / $108.75	Professional	26	$51.24	$56.90	$108.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $203.00 / $278.75	Professional		$68.95	$203.00	$278.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.04 / $67.04 / $107.60	Facility	26	$67.04	$67.04	$107.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $333.88 / $552.02	Professional		$169.35	$333.88	$552.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $68.84 / $115.94	Professional	26	$59.78	$68.84	$115.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.86 / $245.18 / $472.75	Professional	TC	$107.86	$245.18	$472.75
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 $199.06 / $334.13 / $2,831.41	Professional		$199.06	$334.13	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $76.61 / $579.54	Professional	26	$59.59	$76.61	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $133.75 / $267.31 / $2,465.48	Professional	TC	$133.75	$267.31	$2,465.48
United Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $274.57 / $551.89	Professional		$199.06	$274.57	$551.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.59 / $75.06 / $148.56	Professional	26	$59.59	$75.06	$148.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.75 / $184.49 / $429.34	Professional	TC	$133.75	$184.49	$429.34