Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $144.54 / $316.23	Facility	26	$107.15	$144.54	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $316.23	Professional		$131.83	$173.78	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $190.55	Professional	26	$52.48	$85.11	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $87.10 / $190.55	Professional	TC	$64.57	$87.10	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $213.80	Professional		$91.20	$91.20	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $109.65	Professional	26	$51.29	$67.61	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $407.38	Professional		$109.65	$181.97	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $151.36	Professional	26	$51.29	$74.13	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $97.72 / $213.80	Professional	TC	$54.95	$97.72	$213.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $645.65	Facility	26	$501.19	$501.19	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $1,412.54	Professional		$147.91	$234.42	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $436.52	Professional	26	$52.48	$87.10	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $125.89 / $1,148.15	Professional	TC	$74.13	$125.89	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $331.13	Professional		$144.54	$199.53	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $120.23	Professional	26	$52.48	$75.86	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $104.71 / $218.78	Professional	TC	$74.13	$104.71	$218.78