Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.38 / $96.89 / $471.23	Facility	26	$82.38	$96.89	$471.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $372.17 / $590.50	Professional		$250.00	$372.17	$590.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $90.19 / $141.22	Professional	26	$62.50	$90.19	$141.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $281.98 / $449.27	Professional	TC	$187.50	$281.98	$449.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.46 / $94.46 / $94.46	Professional	26	$94.46	$94.46	$94.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $348.95 / $479.16	Professional		$89.30	$348.95	$479.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.91 / $82.91 / $132.69	Facility	26	$82.91	$82.91	$132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.35 / $455.02 / $705.29	Professional		$289.35	$455.02	$705.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.73 / $83.83 / $141.19	Professional	26	$73.73	$83.83	$141.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.78 / $365.36 / $576.19	Professional	TC	$213.78	$365.36	$576.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $615.67 / $789.92 / $789.92	Facility	26	$615.67	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $464.41 / $3,007.15	Professional		$342.55	$464.41	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $94.67 / $848.54	Professional	26	$73.44	$94.67	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.11 / $431.95 / $2,544.17	Professional	TC	$263.11	$431.95	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $414.64 / $675.10	Professional		$342.55	$414.64	$675.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.44 / $91.31 / $131.22	Professional	26	$73.44	$91.31	$131.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.07 / $311.50 / $533.98	Professional	TC	$257.07	$311.50	$533.98