Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $87.10 / $338.84	Facility	26	$57.54	$87.10	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $275.42	Professional		$131.83	$169.82	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $173.78	Professional	26	$51.29	$75.86	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $87.10 / $218.78	Professional	TC	$64.57	$87.10	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $109.65	Professional	26	$52.48	$77.62	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $190.55	Professional		$70.79	$138.04	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $77.62	Facility	26	$53.70	$53.70	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $338.84	Professional		$109.65	$165.96	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $61.66 / $109.65	Professional	26	$44.67	$61.66	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $91.20 / $204.17	Professional	TC	$56.23	$91.20	$204.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $645.65 / $645.65	Facility	26	$501.19	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $1,412.54	Professional		$125.89	$173.78	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $436.52	Professional	26	$51.29	$75.86	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $100.00 / $1,148.15	Professional	TC	$63.10	$100.00	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $302.00	Professional		$114.82	$154.88	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $72.44 / $97.72	Professional	26	$47.86	$72.44	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $77.62 / $208.93	Professional	TC	$61.66	$77.62	$208.93