Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.82 / $82.00 / $127.48	Facility	26	$58.82	$82.00	$127.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $370.79 / $842.31	Professional		$296.52	$370.79	$842.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $57.91 / $127.48	Professional	26	$51.54	$57.91	$127.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $315.82 / $714.83	Professional	TC	$251.27	$315.82	$714.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $318.87 / $342.87	Professional		$318.87	$318.87	$342.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.18 / $64.33 / $87.09	Professional	26	$59.18	$64.33	$87.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.97 / $468.97 / $468.97	Professional		$468.97	$468.97	$468.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $559.40 / $1,205.06	Professional		$289.27	$559.40	$1,205.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.02 / $86.08 / $178.66	Professional	26	$55.02	$86.08	$178.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $466.00 / $1,026.40	Professional	TC	$274.27	$466.00	$1,026.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $128.97 / $128.97	Facility	26	$128.97	$128.97	$128.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $447.69 / $2,452.27	Professional		$239.36	$447.69	$2,452.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.77 / $77.09 / $354.09	Professional	26	$59.77	$77.09	$354.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $171.18 / $374.69 / $2,098.17	Professional	TC	$171.18	$374.69	$2,098.17
United Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $436.89 / $842.23	Professional		$233.71	$436.89	$842.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.33 / $73.00 / $140.78	Professional	26	$59.33	$73.00	$140.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.38 / $343.78 / $711.38	Professional	TC	$174.38	$343.78	$711.38