Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $34.15 / $65.19	Facility	26	$27.92	$34.15	$65.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $97.42 / $114.51	Professional		$81.68	$97.42	$114.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $28.71 / $39.56	Professional	26	$19.89	$28.71	$39.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.79 / $68.70 / $80.34	Professional	TC	$61.79	$68.70	$80.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $71.50 / $71.50	Professional		$71.50	$71.50	$71.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $21.10 / $30.34	Professional	26	$21.10	$21.10	$30.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $121.61 / $121.61	Professional		$121.61	$121.61	$121.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $117.79 / $172.96	Professional		$70.16	$117.79	$172.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.20 / $35.94 / $51.18	Professional	26	$20.20	$35.94	$51.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.25 / $89.80 / $133.41	Professional	TC	$52.25	$89.80	$133.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $67.28 / $128.65	Facility	26	$67.28	$67.28	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $107.95 / $648.50	Professional		$80.28	$107.95	$648.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $33.75 / $180.32	Professional	26	$22.28	$33.75	$180.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.00 / $73.83 / $468.12	Professional	TC	$58.00	$73.83	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $97.55 / $156.47	Professional		$80.28	$97.55	$156.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $30.80 / $49.09	Professional	26	$22.28	$30.80	$49.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.00 / $66.31 / $114.10	Professional	TC	$58.00	$66.31	$114.10