Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $85.11 / $125.89	Facility	26	$52.48	$85.11	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $676.08	Professional		$363.08	$436.52	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $138.04	Professional	26	$53.70	$64.57	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $371.54 / $537.03	Professional	TC	$309.03	$371.54	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $63.10 / $69.18	Professional	26	$58.88	$63.10	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $380.19 / $524.81	Professional		$56.23	$380.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $691.83	Professional		$380.19	$512.86	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $134.90	Professional	26	$61.66	$87.10	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $426.58 / $602.56	Professional	TC	$295.12	$426.58	$602.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $416.87 / $416.87	Facility	26	$131.83	$416.87	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $3,890.45	Professional		$354.81	$512.86	$3,890.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $89.13 / $616.60	Professional	26	$50.12	$89.13	$616.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $436.52 / $3,548.13	Professional	TC	$295.12	$436.52	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $724.44	Professional		$338.84	$446.68	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $117.49	Professional	26	$48.98	$66.07	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $380.19 / $602.56	Professional	TC	$288.40	$380.19	$602.56