Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.59 / $71.98 / $114.88	Facility	26	$59.59	$71.98	$114.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $154.76 / $250.42	Professional		$111.58	$154.76	$250.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.97 / $74.31 / $94.45	Professional	26	$61.97	$74.31	$94.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.36 / $65.58 / $186.96	Professional	TC	$48.36	$65.58	$186.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $117.38 / $117.38	Professional		$117.38	$117.38	$117.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.34 / $72.34 / $89.36	Professional	26	$72.34	$72.34	$89.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $161.35 / $221.56	Professional		$91.70	$161.35	$221.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.95 / $60.95 / $96.86	Facility	26	$60.95	$60.95	$96.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $213.13 / $406.24	Professional		$140.85	$213.13	$406.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.57 / $80.44 / $123.61	Professional	26	$59.57	$80.44	$123.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.16 / $124.00 / $258.48	Professional	TC	$59.16	$124.00	$258.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.91 / $413.29 / $413.29	Facility	26	$213.91	$413.29	$413.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.85 / $226.94 / $3,140.08	Professional		$158.85	$226.94	$3,140.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.68 / $92.91 / $681.88	Professional	26	$63.68	$92.91	$681.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.01 / $126.60 / $2,808.09	Professional	TC	$70.01	$126.60	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $183.21 / $411.21	Professional		$142.62	$183.21	$411.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.66 / $88.02 / $146.69	Professional	26	$60.66	$88.02	$146.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.41 / $101.39 / $347.53	Professional	TC	$68.41	$101.39	$347.53