Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.98 / $77.26 / $82.30	Facility	26	$52.98	$77.26	$82.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.40 / $401.70 / $538.26	Professional		$348.40	$401.70	$538.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $54.09 / $72.34	Professional	26	$51.32	$54.09	$72.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $300.49 / $347.62 / $448.37	Professional	TC	$300.49	$347.62	$448.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $393.53 / $833.05	Professional		$365.98	$393.53	$833.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.04 / $61.86 / $98.57	Professional	26	$54.04	$61.86	$98.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $414.05 / $568.54	Professional		$55.65	$414.05	$568.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $465.49 / $632.64	Professional		$257.76	$465.49	$632.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.68 / $74.31 / $89.72	Professional	26	$50.68	$74.31	$89.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.82 / $435.61 / $542.91	Professional	TC	$213.82	$435.61	$542.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $251.32 / $251.32	Facility	26	$128.97	$251.32	$251.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $449.33 / $2,879.21	Professional		$260.82	$449.33	$2,879.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.62 / $66.72 / $356.25	Professional	26	$50.62	$66.72	$356.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $205.44 / $381.83 / $2,522.94	Professional	TC	$205.44	$381.83	$2,522.94
United Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $410.48 / $728.28	Professional		$260.82	$410.48	$728.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.62 / $62.44 / $106.76	Professional	26	$50.62	$62.44	$106.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.88 / $360.22 / $630.02	Professional	TC	$196.88	$360.22	$630.02