Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $30.20	Facility	26	$15.85	$15.85	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $186.21	Professional		$67.61	$93.33	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $44.67	Professional	26	$15.85	$19.95	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $69.18 / $100.00	Professional	TC	$51.29	$69.18	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $75.86	Professional		$52.48	$52.48	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $31.62 / $32.36	Professional	26	$15.14	$31.62	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $89.13 / $123.03	Professional		$19.95	$89.13	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $147.91	Professional		$58.88	$85.11	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.89 / $35.48	Professional	26	$15.49	$20.89	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $64.57 / $120.23	Professional	TC	$43.65	$64.57	$120.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $91.20 / $91.20	Facility	26	$46.77	$91.20	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $630.96	Professional		$75.86	$95.50	$630.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $128.82	Professional	26	$18.20	$21.88	$128.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $69.18 / $512.86	Professional	TC	$54.95	$69.18	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $128.82	Professional		$70.79	$89.13	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $20.89 / $31.62	Professional	26	$17.78	$20.89	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $67.61 / $102.33	Professional	TC	$54.95	$67.61	$102.33