Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $36.31 / $61.66	Facility	26	$30.90	$36.31	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $194.98	Professional		$85.11	$123.03	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $52.48	Professional	26	$21.88	$26.92	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $97.72 / $151.36	Professional	TC	$66.07	$97.72	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.90 / $32.36	Professional	26	$21.38	$30.90	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $245.47	Professional		$83.18	$138.04	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $37.15 / $60.26	Professional	26	$23.44	$37.15	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $102.33 / $199.53	Professional	TC	$58.88	$102.33	$199.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $125.89	Facility	26	$64.57	$64.57	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $870.96	Professional		$100.00	$141.25	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $35.48 / $199.53	Professional	26	$26.30	$35.48	$199.53
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $107.15 / $691.83	Professional	TC	$72.44	$107.15	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $199.53	Professional		$100.00	$123.03	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $30.20 / $48.98	Professional	26	$26.30	$30.20	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $151.36	Professional	TC	$72.44	$93.33	$151.36