Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.86 / $46.16 / $75.95	Facility	26	$37.86	$46.16	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $109.52 / $128.88	Professional		$99.89	$109.52	$128.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $33.06 / $48.75	Professional	26	$31.21	$33.06	$48.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $76.45 / $103.35	Professional	TC	$68.67	$76.45	$103.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $178.51 / $178.51	Professional		$77.19	$178.51	$178.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $24.53 / $34.47	Professional	26	$24.53	$24.53	$34.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	TC	$85.57	$85.57	$85.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $155.78 / $155.78	Professional		$155.78	$155.78	$155.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.24 / $146.04 / $194.97	Professional		$87.24	$146.04	$194.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $47.28 / $62.52	Professional	26	$27.56	$47.28	$62.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.68 / $99.62 / $148.24	Professional	TC	$59.68	$99.62	$148.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $78.25 / $149.85	Facility	26	$78.25	$78.25	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $128.38 / $730.62	Professional		$108.05	$128.38	$730.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $42.39 / $210.44	Professional	26	$35.67	$42.39	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.38 / $85.99 / $520.19	Professional	TC	$72.38	$85.99	$520.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $113.10 / $187.73	Professional		$104.16	$113.10	$187.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.32 / $38.89 / $60.74	Professional	26	$35.32	$38.89	$60.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.27 / $82.17 / $126.99	Professional	TC	$71.27	$82.17	$126.99