Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.68 / $26.94 / $150.55	Facility	26	$22.68	$26.94	$150.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $110.75 / $136.75	Professional		$85.33	$110.75	$136.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.20 / $25.85 / $28.88	Professional	26	$19.20	$25.85	$28.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.13 / $82.78 / $107.87	Professional	TC	$66.13	$82.78	$107.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $43.41 / $43.41	Professional	26	$43.41	$43.41	$43.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $123.55 / $169.65	Professional		$28.00	$123.55	$169.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.97 / $24.97 / $40.09	Facility	26	$24.97	$24.97	$40.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $105.18 / $159.16	Professional		$77.61	$105.18	$159.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.06 / $27.44 / $41.51	Professional	26	$23.06	$27.44	$41.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.84 / $79.88 / $121.79	Professional	TC	$53.84	$79.88	$121.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.28 / $125.66 / $125.66	Facility	26	$64.28	$125.66	$125.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $133.22 / $873.78	Professional		$99.54	$133.22	$873.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $30.32 / $198.13	Professional	26	$25.78	$30.32	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $65.26 / $90.16 / $695.99	Professional	TC	$65.26	$90.16	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $118.34 / $205.60	Professional		$90.85	$118.34	$205.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.59 / $28.81 / $48.48	Professional	26	$25.59	$28.81	$48.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.59 / $86.00 / $151.86	Professional	TC	$64.59	$86.00	$151.86