Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.20 / $51.79 / $71.33	Facility	26	$37.20	$51.79	$71.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $194.58 / $254.31	Professional		$144.94	$194.58	$254.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $42.93 / $49.92	Professional	26	$30.56	$42.93	$49.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.39 / $150.57 / $195.14	Professional	TC	$114.39	$150.57	$195.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.71 / $50.71 / $50.71	Professional	26	$50.71	$50.71	$50.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $210.35 / $288.83	Professional		$48.29	$210.35	$288.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $208.13 / $336.22	Professional		$180.32	$208.13	$336.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.57 / $45.58 / $70.41	Professional	26	$40.57	$45.58	$70.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.68 / $162.22 / $265.81	Professional	TC	$139.68	$162.22	$265.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $210.21 / $210.21	Facility	26	$107.73	$210.21	$210.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $234.94 / $525.41	Professional		$195.00	$234.94	$525.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.42 / $49.37 / $120.24	Professional	26	$40.42	$49.37	$120.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $148.40 / $189.07 / $451.15	Professional	TC	$148.40	$189.07	$451.15
United Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $229.98 / $352.41	Professional		$187.95	$229.98	$352.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $45.98 / $94.58	Professional	26	$39.54	$45.98	$94.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.69 / $188.13 / $364.14	Professional	TC	$144.69	$188.13	$364.14