Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.62 / $68.93 / $113.43	Facility	26	$57.62	$68.93	$113.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $334.33 / $404.73	Professional		$318.73	$334.33	$404.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $48.02 / $59.50	Professional	26	$45.85	$48.02	$59.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $286.31 / $345.23	Professional	TC	$272.87	$286.31	$345.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.62 / $239.62 / $239.62	Professional		$239.62	$239.62	$239.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.61 / $504.61 / $504.61	Professional		$504.61	$504.61	$504.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $388.70 / $585.59	Professional		$88.33	$388.70	$585.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $72.33 / $91.00	Professional	26	$45.06	$72.33	$91.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.87 / $378.19 / $554.92	Professional	TC	$245.87	$378.19	$554.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.60 / $118.60 / $118.60	Facility	26	$118.60	$118.60	$118.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.94 / $431.18 / $2,348.14	Professional		$318.94	$431.18	$2,348.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.86 / $65.64 / $379.76	Professional	26	$49.86	$65.64	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $269.08 / $356.01 / $2,034.68	Professional	TC	$269.08	$356.01	$2,034.68
United Facility/Professional Professional Modifier Low / Median / High Price $318.94 / $389.28 / $642.11	Professional		$318.94	$389.28	$642.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.86 / $60.00 / $102.98	Professional	26	$49.86	$60.00	$102.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $268.07 / $333.34 / $556.08	Professional	TC	$268.07	$333.34	$556.08