Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.80 / $38.97 / $39.02	Facility	26	$19.80	$38.97	$39.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $74.70 / $90.61	Professional		$61.64	$74.70	$90.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $17.02 / $20.47	Professional	26	$15.61	$17.02	$20.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $58.20 / $70.15	Professional	TC	$46.00	$58.20	$70.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.50 / $18.27 / $18.27	Professional	26	$16.50	$18.27	$18.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $98.54 / $98.54	Professional		$98.54	$98.54	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $96.79 / $140.50	Professional		$55.63	$96.79	$140.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $24.60 / $32.22	Professional	26	$13.95	$24.60	$32.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $72.56 / $119.96	Professional	TC	$40.58	$72.56	$119.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $40.36 / $40.36 / $77.22	Facility	26	$40.36	$40.36	$77.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $87.74 / $507.76	Professional		$70.12	$87.74	$507.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.53 / $21.57 / $109.02	Professional	26	$18.53	$21.57	$109.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.23 / $67.09 / $398.67	Professional	TC	$51.23	$67.09	$398.67
United Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $79.76 / $135.59	Professional		$67.98	$79.76	$135.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $20.65 / $31.91	Professional	26	$17.97	$20.65	$31.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.23 / $62.82 / $97.58	Professional	TC	$51.23	$62.82	$97.58