Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.29 / $45.67 / $62.48	Facility	26	$32.29	$45.67	$62.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $247.90 / $282.72	Professional		$189.50	$247.90	$282.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $37.97 / $40.22	Professional	26	$26.98	$37.97	$40.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.52 / $209.40 / $242.50	Professional	TC	$162.52	$209.40	$242.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $270.32 / $270.32	Professional		$270.32	$270.32	$270.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $29.78 / $29.78	Professional	26	$29.78	$29.78	$29.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $274.75 / $377.27	Professional		$50.19	$274.75	$377.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $227.14 / $335.68	Professional		$194.80	$227.14	$335.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.74 / $39.65 / $60.92	Professional	26	$35.74	$39.65	$60.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.54 / $186.66 / $281.60	Professional	TC	$160.54	$186.66	$281.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $225.00 / $225.00	Facility	26	$94.73	$225.00	$225.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $288.86 / $680.47	Professional		$204.21	$288.86	$680.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $42.98 / $106.21	Professional	26	$35.40	$42.98	$106.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $168.78 / $232.66 / $650.39	Professional	TC	$168.78	$232.66	$650.39
United Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $258.23 / $573.07	Professional		$204.21	$258.23	$573.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.94 / $41.73 / $65.51	Professional	26	$34.94	$41.73	$65.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.78 / $218.19 / $524.95	Professional	TC	$168.78	$218.19	$524.95