Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.68 / $105.41 / $209.75	Facility	26	$79.68	$105.41	$209.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $180.00 / $272.08	Professional		$155.11	$180.00	$272.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $87.84 / $108.86	Professional	26	$56.82	$87.84	$108.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.27 / $79.78 / $211.66	Professional	TC	$67.27	$79.78	$211.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.81 / $66.81 / $154.49	Professional	26	$66.81	$66.81	$154.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.47 / $428.47 / $428.47	Professional		$428.47	$428.47	$428.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $274.94 / $832.38	Professional		$118.59	$274.94	$832.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $105.83 / $166.12	Professional	26	$55.75	$105.83	$166.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.18 / $139.82 / $723.00	Professional	TC	$68.18	$139.82	$723.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.91 / $213.91 / $413.29	Facility	26	$213.91	$213.91	$413.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $401.24 / $3,140.08	Professional		$178.28	$401.24	$3,140.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.45 / $107.58 / $681.88	Professional	26	$63.45	$107.58	$681.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.50 / $337.79 / $2,808.09	Professional	TC	$79.50	$337.79	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $246.78 / $454.51	Professional		$175.80	$246.78	$454.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.45 / $97.84 / $160.31	Professional	26	$63.45	$97.84	$160.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $128.77 / $539.38	Professional	TC	$77.95	$128.77	$539.38