Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $81.28 / $112.20	Facility	26	$57.54	$81.28	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $549.54	Professional		$275.42	$363.08	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $104.71	Professional	26	$39.81	$51.29	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $309.03 / $478.63	Professional	TC	$234.42	$309.03	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $53.70 / $77.62	Professional	26	$37.15	$53.70	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $389.05 / $691.83	Professional		$89.13	$389.05	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $67.61 / $100.00	Professional	26	$44.67	$67.61	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $363.08 / $588.84	Professional	TC	$245.47	$363.08	$588.84
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 $316.23 / $436.52 / $2,344.23	Professional		$316.23	$436.52	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $380.19	Professional	26	$50.12	$63.10	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $354.81 / $2,041.74	Professional	TC	$269.15	$354.81	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $549.54	Professional		$316.23	$389.05	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $58.88 / $79.43	Professional	26	$50.12	$58.88	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $331.13 / $467.74	Professional	TC	$269.15	$331.13	$467.74