Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.89 / $96.83 / $154.41	Facility	26	$77.89	$96.83	$154.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.05 / $434.35 / $509.94	Professional		$416.05	$434.35	$509.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $64.95 / $80.37	Professional	26	$64.28	$64.95	$80.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $351.09 / $367.43 / $429.58	Professional	TC	$351.09	$367.43	$429.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $49.81 / $49.81	Professional	26	$49.81	$49.81	$49.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.38 / $692.38 / $692.38	Professional		$692.38	$692.38	$692.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.52 / $532.13 / $799.94	Professional		$403.52	$532.13	$799.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $74.00 / $116.33	Professional	26	$60.23	$74.00	$116.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.81 / $458.13 / $675.30	Professional	TC	$346.81	$458.13	$675.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.18 / $160.18 / $160.18	Facility	26	$160.18	$160.18	$160.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.28 / $597.17 / $2,964.79	Professional		$491.28	$597.17	$2,964.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.23 / $88.15 / $426.62	Professional	26	$73.23	$88.15	$426.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $418.04 / $499.68 / $2,538.10	Professional	TC	$418.04	$499.68	$2,538.10
United Facility/Professional Professional Modifier Low / Median / High Price $489.26 / $522.53 / $832.80	Professional		$489.26	$522.53	$832.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.94 / $80.56 / $140.99	Professional	26	$69.94	$80.56	$140.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $412.45 / $462.05 / $805.73	Professional	TC	$412.45	$462.05	$805.73