Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $75.86 / $309.03	Facility	26	$39.81	$75.86	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $354.81	Professional		$234.42	$288.40	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $85.11	Professional	26	$38.90	$47.86	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $245.47 / $295.12	Professional	TC	$194.98	$245.47	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $38.02 / $77.62	Professional	26	$37.15	$38.02	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $309.03 / $416.87	Professional		$50.12	$309.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $524.81	Professional		$245.47	$302.00	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $83.18	Professional	26	$41.69	$48.98	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $245.47 / $436.52	Professional	TC	$204.17	$245.47	$436.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $223.87 / $223.87	Facility	26	$117.49	$223.87	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $676.08	Professional		$281.84	$346.74	$676.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $131.83	Professional	26	$42.66	$53.70	$131.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $288.40 / $707.95	Professional	TC	$234.42	$288.40	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $467.74	Professional		$275.42	$316.23	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $51.29 / $79.43	Professional	26	$42.66	$51.29	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $263.03 / $380.19	Professional	TC	$234.42	$263.03	$380.19