Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.86 / $65.52 / $107.81	Facility	26	$54.86	$65.52	$107.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $303.87 / $367.79	Professional		$267.32	$303.87	$367.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $47.13 / $61.10	Professional	26	$43.47	$47.13	$61.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $258.14 / $311.20	Professional	TC	$223.84	$258.14	$311.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $35.15 / $35.15	Professional	26	$35.15	$35.15	$35.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.83 / $451.83 / $451.83	Professional		$451.83	$451.83	$451.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.49 / $358.36 / $572.59	Professional		$280.49	$358.36	$572.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.21 / $69.81 / $86.67	Professional	26	$43.21	$69.81	$86.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.65 / $341.12 / $511.92	Professional	TC	$252.65	$341.12	$511.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.48 / $112.48 / $112.48	Facility	26	$112.48	$112.48	$112.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.98 / $370.01 / $2,116.12	Professional		$281.98	$370.01	$2,116.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $61.25 / $350.03	Professional	26	$46.26	$61.25	$350.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $212.59 / $313.50 / $1,817.68	Professional	TC	$212.59	$313.50	$1,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $357.65 / $572.24	Professional		$273.08	$357.65	$572.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $56.78 / $89.84	Professional	26	$46.26	$56.78	$89.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.59 / $306.04 / $489.66	Professional	TC	$212.59	$306.04	$489.66