Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.44 / $34.15 / $53.71	Facility	26	$28.44	$34.15	$53.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $189.78 / $345.73	Professional		$145.32	$189.78	$345.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.82 / $29.38 / $53.71	Professional	26	$22.82	$29.38	$53.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.19 / $160.38 / $292.02	Professional	TC	$123.19	$160.38	$292.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $17.54 / $24.66	Professional	26	$17.54	$17.54	$24.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.35 / $284.35 / $284.35	Professional		$284.35	$284.35	$284.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $237.33 / $407.00	Professional		$144.56	$237.33	$407.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.07 / $35.09 / $51.00	Professional	26	$23.07	$35.09	$51.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.97 / $206.63 / $341.00	Professional	TC	$129.97	$206.63	$341.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $54.52 / $236.27	Facility	26	$54.52	$54.52	$236.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $266.83 / $1,431.47	Professional		$166.73	$266.83	$1,431.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $35.13 / $293.89	Professional	26	$25.26	$35.13	$293.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.47 / $234.05 / $1,288.22	Professional	TC	$141.47	$234.05	$1,288.22
United Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $236.87 / $360.11	Professional		$166.73	$236.87	$360.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $31.27 / $45.50	Professional	26	$25.26	$31.27	$45.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.47 / $198.04 / $317.10	Professional	TC	$141.47	$198.04	$317.10