Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $93.90 / $456.68	Facility	26	$79.43	$93.90	$456.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $248.37 / $301.14	Professional		$171.00	$248.37	$301.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $86.81 / $111.01	Professional	26	$51.30	$86.81	$111.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $161.56 / $216.88	Professional	TC	$119.70	$161.56	$216.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.58 / $91.58 / $129.80	Professional	26	$91.58	$91.58	$129.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $252.35 / $346.51	Professional		$86.00	$252.35	$346.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.24 / $128.24 / $128.24	Facility	26	$128.24	$128.24	$128.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.59 / $250.52 / $421.71	Professional		$196.59	$250.52	$421.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.45 / $81.52 / $137.16	Professional	26	$69.45	$81.52	$137.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.65 / $164.84 / $296.70	Professional	TC	$123.65	$164.84	$296.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $595.28 / $768.32 / $768.32	Facility	26	$595.28	$768.32	$768.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.88 / $282.58 / $1,515.48	Professional		$221.88	$282.58	$1,515.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $88.78 / $521.79	Professional	26	$75.45	$88.78	$521.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.86 / $195.84 / $993.68	Professional	TC	$142.86	$195.84	$993.68
United Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $271.01 / $421.49	Professional		$220.10	$271.01	$421.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.69 / $88.78 / $133.16	Professional	26	$75.69	$88.78	$133.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.58 / $181.99 / $285.04	Professional	TC	$139.58	$181.99	$285.04