Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $275.42	Professional		$162.18	$199.53	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $50.12 / $77.62	Professional	26	$41.69	$50.12	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $151.36 / $204.17	Professional	TC	$120.23	$151.36	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $50.12	Professional	26	$38.90	$38.90	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $208.93 / $288.40	Professional		$64.57	$208.93	$288.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $436.52	Professional		$169.82	$229.09	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $89.13	Professional	26	$43.65	$54.95	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $158.49 / $275.42	Professional	TC	$125.89	$158.49	$275.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $234.42 / $234.42	Facility	26	$123.03	$234.42	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $1,380.38	Professional		$199.53	$239.88	$1,380.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $331.13	Professional	26	$48.98	$57.54	$331.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $181.97 / $1,047.13	Professional	TC	$151.36	$181.97	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $363.08	Professional		$194.98	$234.42	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $57.54 / $87.10	Professional	26	$47.86	$57.54	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $177.83 / $275.42	Professional	TC	$147.91	$177.83	$275.42