Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $21.22 / $32.97	Facility	26	$16.93	$21.22	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $67.39 / $85.76	Professional		$58.67	$67.39	$85.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $16.27 / $22.07	Professional	26	$14.23	$16.27	$22.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.43 / $51.21 / $62.80	Professional	TC	$44.43	$51.21	$62.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $48.40 / $100.79	Professional		$43.58	$48.40	$100.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $10.93 / $15.61	Professional	26	$10.86	$10.93	$15.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $96.98 / $96.98	Professional		$96.98	$96.98	$96.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $85.82 / $110.87	Professional		$46.17	$85.82	$110.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $22.12 / $30.00	Professional	26	$14.09	$22.12	$30.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $65.89 / $91.52	Professional	TC	$34.54	$65.89	$91.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.43 / $34.43 / $126.00	Facility	26	$34.43	$34.43	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $76.55 / $399.42	Professional		$60.01	$76.55	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $21.31 / $151.90	Professional	26	$15.64	$21.31	$151.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.22 / $55.71 / $307.58	Professional	TC	$44.22	$55.71	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $67.70 / $112.50	Professional		$58.84	$67.70	$112.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $17.73 / $29.60	Professional	26	$15.48	$17.73	$29.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.36 / $50.32 / $78.86	Professional	TC	$43.36	$50.32	$78.86