Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.63 / $62.60 / $103.53	Facility	26	$53.63	$62.60	$103.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $262.44 / $595.98	Professional		$219.22	$262.44	$595.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $49.28 / $103.53	Professional	26	$44.14	$49.28	$103.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.96 / $217.74 / $492.45	Professional	TC	$169.96	$217.74	$492.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $33.22 / $33.22	Professional	26	$33.22	$33.22	$33.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.62 / $372.62 / $372.62	Professional		$372.62	$372.62	$372.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $389.46 / $593.69	Professional		$241.06	$389.46	$593.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.62 / $68.08 / $95.75	Professional	26	$44.62	$68.08	$95.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.75 / $334.35 / $530.01	Professional	TC	$217.75	$334.35	$530.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.57 / $104.57 / $202.83	Facility	26	$104.57	$104.57	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $392.00 / $1,904.10	Professional		$277.89	$392.00	$1,904.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $66.33 / $588.72	Professional	26	$48.72	$66.33	$588.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $229.17 / $336.40 / $1,640.58	Professional	TC	$229.17	$336.40	$1,640.58
United Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $346.55 / $543.04	Professional		$277.89	$346.55	$543.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $60.15 / $86.50	Professional	26	$48.72	$60.15	$86.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.17 / $293.95 / $420.51	Professional	TC	$229.17	$293.95	$420.51