Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $125.89 / $281.84	Facility	26	$60.26	$125.89	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $489.78	Professional		$173.78	$269.15	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $63.10 / $93.33	Professional	26	$51.29	$63.10	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $194.98 / $398.11	Professional	TC	$128.82	$194.98	$398.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
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 $190.55 / $380.19 / $851.14	Professional		$190.55	$380.19	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $112.20	Professional	26	$54.95	$74.13	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $257.04 / $776.25	Professional	TC	$138.04	$257.04	$776.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $3,388.44	Professional		$229.09	$501.19	$3,388.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $436.52	Professional	26	$54.95	$72.44	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $363.08 / $3,019.95	Professional	TC	$165.96	$363.08	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $588.84	Professional		$229.09	$398.11	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $66.07 / $104.71	Professional	26	$54.95	$66.07	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $288.40 / $501.19	Professional	TC	$165.96	$288.40	$501.19