Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.46 / $43.39 / $79.18	Facility	26	$39.46	$43.39	$79.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.05 / $293.77 / $344.40	Professional		$281.05	$293.77	$344.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $33.38 / $41.13	Professional	26	$30.39	$33.38	$41.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $247.88 / $259.36 / $303.27	Professional	TC	$247.88	$259.36	$303.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.57 / $25.57 / $25.71	Professional	26	$25.57	$25.57	$25.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.67 / $527.67 / $527.67	Professional		$527.67	$527.67	$527.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.95 / $486.94 / $587.35	Professional		$281.95	$486.94	$587.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $52.00 / $65.69	Professional	26	$31.65	$52.00	$65.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.29 / $433.39 / $518.54	Professional	TC	$250.29	$433.39	$518.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $81.73 / $81.73	Facility	26	$81.73	$81.73	$81.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $409.23 / $1,991.14	Professional		$336.52	$409.23	$1,991.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.99 / $44.40 / $218.97	Professional	26	$36.99	$44.40	$218.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $299.52 / $356.63 / $1,772.11	Professional	TC	$299.52	$356.63	$1,772.11
United Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $355.51 / $577.96	Professional		$321.58	$355.51	$577.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $40.65 / $62.53	Professional	26	$36.04	$40.65	$62.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.02 / $314.36 / $513.49	Professional	TC	$289.02	$314.36	$513.49