Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.59 / $31.85 / $52.41	Facility	26	$25.59	$31.85	$52.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $120.36 / $145.62	Professional		$82.81	$120.36	$145.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $25.37 / $38.38	Professional	26	$22.87	$25.37	$38.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $95.75 / $115.51	Professional	TC	$59.92	$95.75	$115.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $24.32 / $27.94	Professional	26	$18.59	$24.32	$27.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $159.24 / $159.24	Professional		$159.24	$159.24	$159.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $118.30 / $220.74	Professional		$76.81	$118.30	$220.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $36.47 / $47.57	Professional	26	$21.20	$36.47	$47.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.67 / $94.24 / $190.78	Professional	TC	$57.67	$94.24	$190.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $113.54	Facility	26	$59.27	$59.27	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $144.51 / $841.81	Professional		$84.43	$144.51	$841.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $32.47 / $205.77	Professional	26	$25.29	$32.47	$205.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.14 / $114.73 / $680.78	Professional	TC	$59.14	$114.73	$680.78
United Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $130.59 / $210.21	Professional		$84.43	$130.59	$210.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $28.48 / $46.02	Professional	26	$25.29	$28.48	$46.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.14 / $103.03 / $166.88	Professional	TC	$59.14	$103.03	$166.88