Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.54 / $103.43 / $159.25	Facility	26	$69.54	$103.43	$159.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $172.59 / $213.64	Professional		$139.18	$172.59	$213.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $86.19 / $115.00	Professional	26	$49.60	$86.19	$115.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.16 / $88.35 / $106.00	Professional	TC	$70.16	$88.35	$106.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $211.40 / $211.40	Professional		$91.42	$211.40	$211.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.19 / $73.58 / $79.98	Professional	26	$51.19	$73.58	$79.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.87 / $307.87 / $307.87	Professional		$307.87	$307.87	$307.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $194.76 / $484.00	Professional		$118.87	$194.76	$484.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $83.23 / $120.13	Professional	26	$53.08	$83.23	$120.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $113.40 / $379.00	Professional	TC	$60.10	$113.40	$379.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $503.20 / $646.64 / $646.64	Facility	26	$503.20	$646.64	$646.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $245.65 / $1,406.40	Professional		$159.91	$245.65	$1,406.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $90.95 / $439.49	Professional	26	$52.73	$90.95	$439.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.84 / $192.92 / $1,140.03	Professional	TC	$79.84	$192.92	$1,140.03
United Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $211.13 / $361.92	Professional		$153.74	$211.13	$361.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.73 / $80.08 / $129.13	Professional	26	$52.73	$80.08	$129.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $114.27 / $273.82	Professional	TC	$77.95	$114.27	$273.82