Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.10 / $28.43 / $53.38	Facility	26	$27.10	$28.43	$53.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $154.57 / $272.91	Professional		$115.22	$154.57	$272.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.83 / $23.69 / $53.38	Professional	26	$20.83	$23.69	$53.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.69 / $122.99 / $219.53	Professional	TC	$92.69	$122.99	$219.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $17.30 / $24.32	Professional	26	$17.30	$17.30	$24.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $209.91 / $209.91	Professional		$209.91	$209.91	$209.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $189.25 / $286.00	Professional		$115.62	$189.25	$286.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.07 / $32.54 / $43.66	Professional	26	$23.07	$32.54	$43.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.36 / $156.22 / $236.00	Professional	TC	$96.36	$156.22	$236.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $53.90 / $174.32	Facility	26	$53.90	$53.90	$174.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $202.94 / $1,035.17	Professional		$131.37	$202.94	$1,035.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $32.39 / $303.79	Professional	26	$24.31	$32.39	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $105.39 / $175.45 / $922.24	Professional	TC	$105.39	$175.45	$922.24
United Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $185.46 / $259.81	Professional		$131.37	$185.46	$259.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $32.15 / $45.55	Professional	26	$24.31	$32.15	$45.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.39 / $140.69 / $225.67	Professional	TC	$105.39	$140.69	$225.67