Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.31 / $80.75 / $171.60	Facility	26	$29.31	$80.75	$171.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $164.74 / $721.00	Professional		$110.70	$164.74	$721.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.18 / $52.49 / $198.24	Professional	26	$29.18	$52.49	$198.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.05 / $112.25 / $411.20	Professional	TC	$84.05	$112.25	$411.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.74 / $47.74 / $55.69	Professional	26	$47.74	$47.74	$55.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $118.54 / $574.16	Professional		$81.48	$118.54	$574.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.86 / $30.34 / $146.97	Professional	26	$20.86	$30.34	$146.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.63 / $88.19 / $427.18	Professional	TC	$60.63	$88.19	$427.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $97.11 / $225.26	Professional		$71.44	$97.11	$225.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $34.17 / $60.30	Professional	26	$19.96	$34.17	$60.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.98 / $70.18 / $172.04	Professional	TC	$47.98	$70.18	$172.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $239.31 / $239.31	Facility	26	$99.23	$239.31	$239.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $110.44 / $1,140.80	Professional		$87.32	$110.44	$1,140.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $34.40 / $326.98	Professional	26	$27.50	$34.40	$326.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.44 / $82.94 / $871.18	Professional	TC	$53.44	$82.94	$871.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $110.44 / $202.47	Professional		$87.32	$110.44	$202.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $33.88 / $56.73	Professional	26	$27.50	$33.88	$56.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.44 / $82.94 / $152.05	Professional	TC	$53.44	$82.94	$152.05