Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.55 / $19.87 / $30.67	Facility	26	$15.55	$19.87	$30.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.29 / $59.99 / $130.84	Facility	TC	$35.29	$59.99	$130.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $43.68 / $51.40	Professional		$42.37	$43.68	$51.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $14.49 / $16.66	Professional	26	$12.96	$14.49	$16.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $30.32 / $40.22	Professional	TC	$28.17	$30.32	$40.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $9.96 / $9.96	Professional	26	$9.94	$9.96	$9.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $80.22 / $80.22	Professional		$80.22	$80.22	$80.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $60.81 / $80.00	Professional		$32.20	$60.81	$80.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $20.74 / $29.80	Professional	26	$13.63	$20.74	$29.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $43.36 / $60.62	Professional	TC	$23.61	$43.36	$60.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.72 / $31.72 / $100.00	Facility	26	$31.72	$31.72	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $66.47 / $66.47 / $142.32	Facility	TC	$66.47	$66.47	$142.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $59.99 / $314.00	Professional		$44.65	$59.99	$314.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $20.30 / $107.32	Professional	26	$14.80	$20.30	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.60 / $38.53 / $296.00	Professional	TC	$29.60	$38.53	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $50.02 / $76.08	Professional		$43.78	$50.02	$76.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $16.87 / $28.15	Professional	26	$14.76	$16.87	$28.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.02 / $32.77 / $48.89	Professional	TC	$29.02	$32.77	$48.89