Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $147.91 / $204.17	Facility	26	$102.33	$147.91	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $288.40	Professional		$141.25	$173.78	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $89.13 / $144.54	Professional	26	$56.23	$89.13	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $79.43 / $208.93	Professional	TC	$60.26	$79.43	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $104.71	Professional	26	$66.07	$83.18	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $549.54	Professional		$120.23	$269.15	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $100.00 / $199.53	Professional	26	$60.26	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $141.25 / $380.19	Professional	TC	$60.26	$141.25	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $416.87	Facility	26	$213.80	$213.80	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $3,162.28	Professional		$173.78	$346.74	$3,162.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $109.65 / $676.08	Professional	26	$63.10	$109.65	$676.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $223.87 / $2,818.38	Professional	TC	$77.62	$223.87	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $549.54	Professional		$169.82	$251.19	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $97.72 / $154.88	Professional	26	$63.10	$97.72	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $120.23 / $416.87	Professional	TC	$75.86	$120.23	$416.87