Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $37.15 / $52.48	Facility	26	$25.70	$37.15	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $338.84	Professional		$169.82	$223.87	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $58.88	Professional	26	$18.20	$26.92	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $199.53 / $309.03	Professional	TC	$151.36	$199.53	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $19.50 / $30.20	Professional	26	$17.38	$19.50	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $426.58	Professional		$204.17	$323.59	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.20 / $45.71	Professional	26	$21.38	$30.20	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $389.05	Professional	TC	$186.21	$281.84	$389.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $1,445.44	Professional		$239.88	$288.40	$1,445.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $27.54 / $147.91	Professional	26	$23.99	$27.54	$147.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $251.19 / $1,318.26	Professional	TC	$213.80	$251.19	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $363.08	Professional		$234.42	$275.42	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $27.54 / $37.15	Professional	26	$23.99	$27.54	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $245.47 / $331.13	Professional	TC	$208.93	$245.47	$331.13