Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.87 / $62.81 / $83.98	Facility	26	$44.87	$62.81	$83.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $299.41 / $544.98	Professional		$229.05	$299.41	$544.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.52 / $40.90 / $83.98	Professional	26	$36.52	$40.90	$83.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.66 / $258.50 / $461.00	Professional	TC	$194.66	$258.50	$461.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.63 / $31.63 / $31.63	Professional	26	$31.63	$31.63	$31.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.70 / $355.70 / $355.70	Professional		$355.70	$355.70	$355.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.96 / $360.00 / $510.57	Professional		$236.96	$360.00	$510.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.64 / $54.00 / $77.75	Professional	26	$36.64	$54.00	$77.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.33 / $304.99 / $432.82	Professional	TC	$200.33	$304.99	$432.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $86.46 / $171.05	Facility	26	$86.46	$86.46	$171.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $353.57 / $1,627.28	Professional		$271.75	$353.57	$1,627.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $53.15 / $234.31	Professional	26	$39.70	$53.15	$234.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $232.05 / $300.47 / $1,392.98	Professional	TC	$232.05	$300.47	$1,392.98
United Facility/Professional Professional Modifier Low / Median / High Price $269.66 / $327.38 / $499.47	Professional		$269.66	$327.38	$499.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $49.87 / $71.50	Professional	26	$39.70	$49.87	$71.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.05 / $281.95 / $451.15	Professional	TC	$231.05	$281.95	$451.15