Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.60 / $65.56 / $86.23	Facility	26	$61.60	$65.56	$86.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $165.44 / $235.11	Professional		$127.94	$165.44	$235.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.44 / $53.04 / $76.70	Professional	26	$41.44	$53.04	$76.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.50 / $112.40 / $158.41	Professional	TC	$86.50	$112.40	$158.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.94 / $45.94 / $45.94	Professional	26	$45.94	$45.94	$45.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $265.00 / $265.00	Professional		$265.00	$265.00	$265.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $213.67 / $433.00	Professional		$133.99	$213.67	$433.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.99 / $67.41 / $143.00	Professional	26	$44.99	$67.41	$143.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.04 / $144.68 / $290.00	Professional	TC	$91.04	$144.68	$290.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.58 / $101.58 / $214.35	Facility	26	$101.58	$101.58	$214.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $228.98 / $1,086.26	Professional		$144.00	$228.98	$1,086.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $67.79 / $449.09	Professional	26	$46.19	$67.79	$449.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.81 / $169.18 / $867.64	Professional	TC	$97.81	$169.18	$867.64
United Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $202.28 / $283.32	Professional		$139.50	$202.28	$283.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $60.70 / $86.38	Professional	26	$46.19	$60.70	$86.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.81 / $145.02 / $202.74	Professional	TC	$93.81	$145.02	$202.74