Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.04 / $32.96 / $61.06	Facility	26	$31.04	$32.96	$61.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $124.75 / $150.94	Professional		$97.57	$124.75	$150.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $26.67 / $34.27	Professional	26	$23.64	$26.67	$34.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $98.88 / $119.29	Professional	TC	$73.93	$98.88	$119.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $91.90 / $91.90	Professional		$91.90	$91.90	$91.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.79 / $19.79 / $21.08	Professional	26	$19.79	$19.79	$21.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $162.82 / $162.82	Professional		$162.82	$162.82	$162.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $142.93 / $233.07	Professional		$82.29	$142.93	$233.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $38.70 / $48.80	Professional	26	$22.38	$38.70	$48.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.34 / $116.27 / $202.38	Professional	TC	$67.34	$116.27	$202.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.68 / $62.68 / $121.12	Facility	26	$62.68	$62.68	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $137.63 / $859.12	Professional		$106.94	$137.63	$859.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.04 / $33.38 / $211.35	Professional	26	$26.04	$33.38	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.90 / $105.23 / $689.44	Professional	TC	$80.90	$105.23	$689.44
United Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $121.70 / $207.40	Professional		$106.94	$121.70	$207.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.04 / $30.97 / $53.72	Professional	26	$26.04	$30.97	$53.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.90 / $94.19 / $154.37	Professional	TC	$80.90	$94.19	$154.37