Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.30 / $45.32 / $45.87	Facility	26	$23.30	$45.32	$45.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $93.88 / $117.46	Professional		$73.73	$93.88	$117.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $20.02 / $28.20	Professional	26	$18.16	$20.02	$28.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $74.47 / $91.93	Professional	TC	$55.57	$74.47	$91.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $21.38 / $21.38	Professional	26	$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $118.40 / $118.40	Professional		$118.40	$118.40	$118.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $114.99 / $174.70	Professional		$66.43	$114.99	$174.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.25 / $28.50 / $38.03	Professional	26	$16.25	$28.50	$38.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.88 / $87.18 / $153.49	Professional	TC	$50.88	$87.18	$153.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.20 / $47.20 / $90.84	Facility	26	$47.20	$47.20	$90.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $104.01 / $637.19	Professional		$83.74	$104.01	$637.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $25.04 / $127.82	Professional	26	$21.25	$25.04	$127.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.83 / $80.59 / $509.36	Professional	TC	$61.83	$80.59	$509.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $96.54 / $156.07	Professional		$83.74	$96.54	$156.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.84 / $23.42 / $36.20	Professional	26	$20.84	$23.42	$36.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.73 / $73.26 / $122.83	Professional	TC	$60.73	$73.26	$122.83