Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $44.67 / $45.71	Facility	26	$22.91	$44.67	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $177.83	Professional		$70.79	$100.00	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $50.12	Professional	26	$15.85	$22.91	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $123.03	Professional	TC	$52.48	$74.13	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $89.13	Professional		$52.48	$74.13	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $194.98	Professional		$70.79	$107.15	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.70 / $43.65	Professional	26	$16.98	$25.70	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $83.18 / $154.88	Professional	TC	$52.48	$83.18	$154.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $91.20	Facility	26	$46.77	$46.77	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $630.96	Professional		$79.43	$104.71	$630.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $24.55 / $128.82	Professional	26	$20.42	$24.55	$128.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $79.43 / $512.86	Professional	TC	$60.26	$79.43	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $151.36	Professional		$79.43	$95.50	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $21.88 / $35.48	Professional	26	$20.42	$21.88	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $72.44 / $117.49	Professional	TC	$57.54	$72.44	$117.49