Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.70 / $147.27 / $172.63	Facility	26	$109.70	$147.27	$172.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $306.33 / $414.14	Professional		$171.00	$306.33	$414.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $118.32 / $150.59	Professional	26	$51.30	$118.32	$150.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $210.01 / $309.76	Professional	TC	$119.70	$210.01	$309.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.52 / $104.40 / $177.05	Professional	26	$83.52	$104.40	$177.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $409.85 / $562.78	Professional		$112.70	$409.85	$562.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.26 / $112.26 / $177.17	Facility	26	$112.26	$112.26	$177.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.78 / $441.48 / $718.22	Professional		$347.78	$441.48	$718.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.19 / $111.75 / $184.95	Professional	26	$95.19	$111.75	$184.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.77 / $360.98 / $588.87	Professional	TC	$247.77	$360.98	$588.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $815.92 / $1,048.24 / $1,048.24	Facility	26	$815.92	$1,048.24	$1,048.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $542.62 / $4,801.00	Professional		$381.15	$542.62	$4,801.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $98.89 / $127.69 / $1,632.94	Professional	26	$98.89	$127.69	$1,632.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.89 / $457.21 / $3,601.00	Professional	TC	$263.89	$457.21	$3,601.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.61 / $450.76 / $801.78	Professional		$360.61	$450.76	$801.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.89 / $120.90 / $191.72	Professional	26	$98.89	$120.90	$191.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.89 / $329.86 / $617.48	Professional	TC	$263.89	$329.86	$617.48