Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.32 / $16.32 / $30.17	Facility	26	$16.32	$16.32	$30.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $78.54 / $99.45	Professional		$61.60	$78.54	$99.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $18.92 / $20.45	Professional	26	$13.36	$18.92	$20.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.24 / $59.64 / $79.00	Professional	TC	$48.24	$59.64	$79.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $14.95 / $31.70	Professional	26	$14.95	$14.95	$31.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $89.60 / $123.03	Professional		$20.64	$89.60	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.02 / $31.02 / $31.02	Facility	26	$31.02	$31.02	$31.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $81.17 / $125.45	Professional		$61.41	$81.17	$125.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $19.51 / $29.24	Professional	26	$16.23	$19.51	$29.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.37 / $61.66 / $98.31	Professional	TC	$47.37	$61.66	$98.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.20 / $90.84 / $90.84	Facility	26	$47.20	$90.84	$90.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $93.63 / $637.19	Professional		$75.64	$93.63	$637.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.10 / $21.99 / $127.82	Professional	26	$18.10	$21.99	$127.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.94 / $69.59 / $509.36	Professional	TC	$54.94	$69.59	$509.36
United Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $86.28 / $142.60	Professional		$69.93	$86.28	$142.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.88 / $21.29 / $34.06	Professional	26	$17.88	$21.29	$34.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.83 / $65.93 / $109.89	Professional	TC	$50.83	$65.93	$109.89