Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.59 / $59.04 / $113.19	Facility	26	$49.59	$59.04	$113.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $293.82 / $352.86	Professional		$287.89	$293.82	$352.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $47.76 / $59.04	Professional	26	$43.47	$47.76	$59.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.14 / $250.34 / $293.82	Professional	TC	$240.14	$250.34	$293.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $36.69 / $36.69	Professional	26	$36.69	$36.69	$36.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.27 / $538.27 / $538.27	Professional		$538.27	$538.27	$538.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.93 / $495.79 / $600.67	Professional		$285.93	$495.79	$600.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.66 / $74.00 / $94.30	Professional	26	$45.66	$74.00	$94.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.26 / $419.27 / $502.41	Professional	TC	$240.26	$419.27	$502.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.44 / $402.75 / $2,033.50	Professional		$330.44	$402.75	$2,033.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.79 / $63.83 / $313.45	Professional	26	$52.79	$63.83	$313.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $277.64 / $338.09 / $1,720.04	Professional	TC	$277.64	$338.09	$1,720.04
United Facility/Professional Professional Modifier Low / Median / High Price $330.44 / $367.99 / $560.03	Professional		$330.44	$367.99	$560.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.09 / $58.35 / $102.92	Professional	26	$51.09	$58.35	$102.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.64 / $306.87 / $470.56	Professional	TC	$277.64	$306.87	$470.56