Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $57.54 / $89.13	Facility	26	$44.67	$57.54	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $426.58	Professional		$213.80	$281.84	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $41.69 / $64.57	Professional	26	$32.36	$41.69	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $229.09 / $371.54	Professional	TC	$181.97	$229.09	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $436.52	Professional		$190.55	$190.55	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $35.48 / $50.12	Professional	26	$29.51	$35.48	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $263.03 / $537.03	Professional		$69.18	$263.03	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $79.43	Professional	26	$36.31	$52.48	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $457.09	Professional	TC	$181.97	$245.47	$457.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $1,819.70	Professional		$223.87	$323.59	$1,819.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $331.13	Professional	26	$39.81	$51.29	$331.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $269.15 / $1,548.82	Professional	TC	$181.97	$269.15	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $416.87	Professional		$223.87	$295.12	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $46.77 / $64.57	Professional	26	$39.81	$46.77	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $363.08	Professional	TC	$173.78	$251.19	$363.08