Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.68 / $28.79 / $38.54	Facility	26	$20.68	$28.79	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $107.32 / $131.59	Professional		$84.57	$107.32	$131.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $24.44 / $26.70	Professional	26	$17.37	$24.44	$26.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.20 / $85.69 / $105.52	Professional	TC	$67.20	$85.69	$105.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $19.29 / $39.67	Professional	26	$18.73	$19.29	$39.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $122.50 / $168.21	Professional		$26.10	$122.50	$168.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.41 / $24.41 / $38.82	Facility	26	$24.41	$24.41	$38.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $102.68 / $155.38	Professional		$72.13	$102.68	$155.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $24.84 / $39.20	Professional	26	$21.78	$24.84	$39.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $80.20 / $121.37	Professional	TC	$48.98	$80.20	$121.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $113.54 / $113.54	Facility	26	$59.27	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $124.80 / $841.81	Professional		$86.41	$124.80	$841.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.10 / $28.08 / $205.77	Professional	26	$23.10	$28.08	$205.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.02 / $99.08 / $680.78	Professional	TC	$61.02	$99.08	$680.78
United Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $118.23 / $197.06	Professional		$86.41	$118.23	$197.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $25.72 / $46.26	Professional	26	$21.66	$25.72	$46.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.02 / $91.81 / $151.91	Professional	TC	$61.02	$91.81	$151.91