Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.41 / $61.99 / $91.74	Facility	26	$52.41	$61.99	$91.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $171.00 / $184.16	Professional		$137.87	$171.00	$184.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $74.68 / $93.81	Professional	26	$51.30	$74.68	$93.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.55 / $88.34 / $119.70	Professional	TC	$67.55	$88.34	$119.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.34 / $87.02 / $87.02	Professional	26	$77.34	$87.02	$87.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $139.30 / $191.28	Professional		$70.00	$139.30	$191.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.63 / $53.63 / $78.17	Facility	26	$53.63	$53.63	$78.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $135.21 / $240.87	Professional		$109.44	$135.21	$240.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.13 / $61.88 / $93.63	Professional	26	$47.13	$61.88	$93.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.56 / $75.97 / $123.60	Professional	TC	$47.56	$75.97	$123.60
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 $130.68 / $184.49 / $1,406.40	Professional		$130.68	$184.49	$1,406.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.41 / $79.38 / $439.49	Professional	26	$52.41	$79.38	$439.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.36 / $114.77 / $1,140.03	Professional	TC	$62.36	$114.77	$1,140.03
United Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $153.74 / $295.02	Professional		$116.07	$153.74	$295.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $73.52 / $113.69	Professional	26	$47.35	$73.52	$113.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.36 / $81.06 / $177.48	Professional	TC	$62.36	$81.06	$177.48