Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.58 / $139.16 / $676.83	Facility	26	$118.58	$139.16	$676.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $400.27 / $644.79	Professional		$250.00	$400.27	$644.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $128.35 / $203.10	Professional	26	$62.50	$128.35	$203.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $271.91 / $441.69	Professional	TC	$187.50	$271.91	$441.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $136.52 / $136.52 / $136.52	Professional	26	$136.52	$136.52	$136.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $383.95 / $527.22	Professional		$129.75	$383.95	$527.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.48 / $123.48 / $183.06	Facility	26	$123.48	$123.48	$183.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $490.95 / $762.02	Professional		$311.95	$490.95	$762.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.16 / $122.47 / $200.43	Professional	26	$107.16	$122.47	$200.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.73 / $367.31 / $596.84	Professional	TC	$202.73	$367.31	$596.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $888.48 / $1,142.00 / $1,142.00	Facility	26	$888.48	$1,142.00	$1,142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $366.63 / $511.90 / $3,919.13	Professional		$366.63	$511.90	$3,919.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $133.19 / $771.93	Professional	26	$110.80	$133.19	$771.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $257.77 / $435.70 / $3,292.02	Professional	TC	$257.77	$435.70	$3,292.02
United Facility/Professional Professional Modifier Low / Median / High Price $371.12 / $431.33 / $831.62	Professional		$371.12	$431.33	$831.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.74 / $130.28 / $243.86	Professional	26	$110.74	$130.28	$243.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.77 / $311.32 / $683.70	Professional	TC	$257.77	$311.32	$683.70