Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.95 / $60.34 / $104.59	Facility	26	$51.95	$60.34	$104.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $207.06 / $243.26	Professional		$165.09	$207.06	$243.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $43.78 / $54.16	Professional	26	$42.77	$43.78	$54.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.44 / $161.93 / $189.10	Professional	TC	$154.44	$161.93	$189.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $33.65 / $33.65	Professional	26	$33.65	$33.65	$33.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.61 / $367.61 / $367.61	Professional		$367.61	$367.61	$367.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $320.49 / $402.00	Professional		$79.90	$320.49	$402.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $66.76 / $83.00	Professional	26	$41.68	$66.76	$83.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.09 / $266.05 / $320.00	Professional	TC	$154.09	$266.05	$320.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $107.73 / $107.73	Facility	26	$107.73	$107.73	$107.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $306.22 / $1,481.01	Professional		$234.94	$306.22	$1,481.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.51 / $58.75 / $501.94	Professional	26	$45.51	$58.75	$501.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $185.50 / $240.19 / $1,231.75	Professional	TC	$185.50	$240.19	$1,231.75
United Facility/Professional Professional Modifier Low / Median / High Price $223.19 / $272.20 / $438.92	Professional		$223.19	$272.20	$438.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.51 / $53.93 / $85.49	Professional	26	$45.51	$53.93	$85.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.92 / $204.99 / $296.80	Professional	TC	$177.92	$204.99	$296.80