Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.60 / $65.95 / $127.48	Facility	26	$58.60	$65.95	$127.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $429.83 / $833.18	Professional		$338.67	$429.83	$833.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $57.91 / $127.48	Professional	26	$51.32	$57.91	$127.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $241.53 / $374.85 / $848.70	Professional	TC	$241.53	$374.85	$848.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $370.82 / $564.53	Professional		$370.82	$370.82	$564.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $59.18 / $66.90	Professional	26	$47.86	$59.18	$66.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.91 / $530.91 / $530.91	Professional		$530.91	$530.91	$530.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.02 / $642.00 / $1,396.93	Professional		$340.02	$642.00	$1,396.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.02 / $86.59 / $178.66	Professional	26	$55.02	$86.59	$178.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.77 / $547.00 / $1,218.27	Professional	TC	$322.77	$547.00	$1,218.27
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 $230.32 / $531.20 / $2,879.21	Professional		$230.32	$531.20	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.77 / $77.55 / $356.25	Professional	26	$59.77	$77.55	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $172.57 / $457.76 / $2,522.94	Professional	TC	$172.57	$457.76	$2,522.94
United Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $495.45 / $999.34	Professional		$236.60	$495.45	$999.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.33 / $73.44 / $141.59	Professional	26	$59.33	$73.44	$141.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.27 / $422.97 / $759.09	Professional	TC	$177.27	$422.97	$759.09