Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.82 / $22.96 / $23.88	Facility	26	$22.82	$22.96	$23.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $146.47 / $245.36	Professional		$140.35	$146.47	$245.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.08 / $23.30 / $29.59	Professional	26	$22.08	$23.30	$29.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.53 / $124.39 / $219.60	Professional	TC	$117.53	$124.39	$219.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $166.85 / $166.85	Professional		$166.85	$166.85	$166.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $149.80 / $205.70	Professional		$24.70	$149.80	$205.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.09 / $32.09 / $37.76	Facility	26	$32.09	$32.09	$37.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $209.63 / $278.04	Professional		$157.88	$209.63	$278.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $32.29 / $39.34	Professional	26	$24.43	$32.29	$39.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.97 / $175.46 / $248.20	Professional	TC	$135.97	$175.46	$248.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $236.27 / $236.27	Facility	26	$54.52	$236.27	$236.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $227.60 / $1,431.47	Professional		$150.06	$227.60	$1,431.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $30.36 / $293.89	Professional	26	$21.98	$30.36	$293.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $123.08 / $216.45 / $1,288.22	Professional	TC	$123.08	$216.45	$1,288.22
United Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $185.13 / $323.30	Professional		$141.72	$185.13	$323.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $26.53 / $45.29	Professional	26	$21.47	$26.53	$45.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.25 / $157.38 / $274.45	Professional	TC	$120.25	$157.38	$274.45