Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.71 / $29.63 / $39.97	Facility	26	$21.71	$29.63	$39.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $109.52 / $134.28	Professional		$83.09	$109.52	$134.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $25.14 / $27.42	Professional	26	$18.23	$25.14	$27.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.86 / $84.46 / $106.86	Professional	TC	$64.86	$84.46	$106.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $42.16 / $42.16	Professional	26	$42.16	$42.16	$42.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $120.40 / $165.33	Professional		$28.01	$120.40	$165.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $24.76 / $39.86	Facility	26	$24.76	$24.76	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $105.06 / $165.06	Professional		$84.89	$105.06	$165.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.53 / $25.79 / $40.54	Professional	26	$22.53	$25.79	$40.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.64 / $79.28 / $128.91	Professional	TC	$60.64	$79.28	$128.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.68 / $121.12 / $121.12	Facility	26	$62.68	$121.12	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $132.94 / $859.12	Professional		$97.87	$132.94	$859.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.22 / $29.08 / $211.35	Professional	26	$24.22	$29.08	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.81 / $91.36 / $689.44	Professional	TC	$69.81	$91.36	$689.44
United Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $110.44 / $196.59	Professional		$91.13	$110.44	$196.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $26.74 / $42.23	Professional	26	$24.10	$26.74	$42.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.91 / $87.53 / $141.28	Professional	TC	$66.91	$87.53	$141.28