Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.00 / $82.36 / $85.82	Facility	26	$52.00	$82.36	$85.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.31 / $244.44 / $321.50	Professional		$238.31	$244.44	$321.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.00 / $53.08 / $97.37	Professional	26	$52.00	$53.08	$97.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.58 / $187.68 / $253.60	Professional	TC	$178.58	$187.68	$253.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $184.82 / $184.82	Professional		$184.82	$184.82	$184.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $51.72 / $68.28	Professional	26	$39.95	$51.72	$68.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $255.50 / $350.84	Professional		$56.14	$255.50	$350.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.12 / $114.12 / $134.27	Facility	26	$114.12	$114.12	$134.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.50 / $366.57 / $518.38	Professional		$265.50	$366.57	$518.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.67 / $90.31 / $130.63	Professional	26	$58.67	$90.31	$130.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.83 / $280.17 / $387.74	Professional	TC	$206.83	$280.17	$387.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.27 / $377.88 / $377.88	Facility	26	$127.27	$377.88	$377.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $353.23 / $2,362.07	Professional		$251.02	$353.23	$2,362.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.18 / $93.21 / $507.12	Professional	26	$51.18	$93.21	$507.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $194.66 / $330.11 / $1,854.93	Professional	TC	$194.66	$330.11	$1,854.93
United Facility/Professional Professional Modifier Low / Median / High Price $240.19 / $334.13 / $565.16	Professional		$240.19	$334.13	$565.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.01 / $73.43 / $118.42	Professional	26	$50.01	$73.43	$118.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.84 / $252.86 / $447.50	Professional	TC	$191.84	$252.86	$447.50