Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.65 / $77.20 / $153.54	Facility	26	$69.65	$77.20	$153.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $139.19 / $216.53	Professional		$120.49	$139.19	$216.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $65.93 / $79.84	Professional	26	$49.65	$65.93	$79.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.32 / $65.12 / $163.68	Professional	TC	$56.32	$65.12	$163.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.40 / $48.40 / $111.93	Professional	26	$48.40	$48.40	$111.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.33 / $355.33 / $355.33	Professional		$355.33	$355.33	$355.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $202.82 / $818.00	Professional		$92.03	$202.82	$818.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $85.40 / $121.68	Professional	26	$48.35	$85.40	$121.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $111.83 / $723.00	Professional	TC	$63.46	$111.83	$723.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $155.03 / $155.03 / $302.75	Facility	26	$155.03	$155.03	$302.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $365.50 / $3,098.01	Professional		$141.47	$365.50	$3,098.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.14 / $79.09 / $636.41	Professional	26	$55.14	$79.09	$636.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.81 / $310.36 / $2,808.09	Professional	TC	$68.81	$310.36	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $195.60 / $402.05	Professional		$139.34	$195.60	$402.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.14 / $73.29 / $115.40	Professional	26	$55.14	$73.29	$115.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $104.42 / $341.40	Professional	TC	$67.48	$104.42	$341.40