Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.35 / $25.05 / $40.02	Facility	26	$21.35	$25.05	$40.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $90.49 / $101.73	Professional		$64.43	$90.49	$101.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $27.37 / $29.10	Professional	26	$19.60	$27.37	$29.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.84 / $63.12 / $72.62	Professional	TC	$44.84	$63.12	$72.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $93.53 / $93.53	Professional		$93.53	$93.53	$93.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $29.65 / $36.29	Professional	26	$21.23	$29.65	$36.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $93.45 / $128.32	Professional		$29.05	$93.45	$128.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.14 / $21.14 / $33.86	Facility	26	$21.14	$21.14	$33.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $81.62 / $129.88	Professional		$69.51	$81.62	$129.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.95 / $25.48 / $38.54	Professional	26	$18.95	$25.48	$38.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.43 / $56.49 / $94.43	Professional	TC	$49.43	$56.49	$94.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $128.65 / $128.65	Facility	26	$67.28	$128.65	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $99.76 / $648.50	Professional		$78.34	$99.76	$648.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.36 / $29.99 / $180.32	Professional	26	$22.36	$29.99	$180.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $66.31 / $468.12	Professional	TC	$55.03	$66.31	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $92.91 / $146.69	Professional		$76.75	$92.91	$146.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.74 / $27.61 / $42.69	Professional	26	$21.74	$27.61	$42.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.17 / $62.21 / $105.74	Professional	TC	$54.17	$62.21	$105.74