Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $50.12 / $204.17	Facility	26	$37.15	$50.12	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $213.80	Professional		$109.65	$144.54	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $47.86 / $112.20	Professional	26	$33.11	$47.86	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $100.00 / $147.91	Professional	TC	$79.43	$100.00	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $66.07	Professional	26	$37.15	$37.15	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $147.91 / $204.17	Professional		$48.98	$147.91	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $51.29	Facility	26	$31.62	$31.62	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $245.47	Professional		$107.15	$134.90	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $74.13	Professional	26	$27.54	$42.66	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $100.00 / $177.83	Professional	TC	$74.13	$100.00	$177.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $218.78 / $218.78	Facility	26	$114.82	$218.78	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $1,023.29	Professional		$128.82	$154.88	$1,023.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $309.03	Professional	26	$33.11	$50.12	$309.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $109.65 / $707.95	Professional	TC	$87.10	$109.65	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $229.09	Professional		$125.89	$147.91	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $47.86 / $66.07	Professional	26	$33.11	$47.86	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $100.00 / $154.88	Professional	TC	$85.11	$100.00	$154.88