Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.67 / $44.30 / $86.72	Facility	26	$41.67	$44.30	$86.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $120.48 / $143.63	Professional		$101.04	$120.48	$143.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $38.06 / $57.60	Professional	26	$29.91	$38.06	$57.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $83.87 / $101.70	Professional	TC	$71.14	$83.87	$101.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.29 / $29.09 / $40.68	Professional	26	$28.29	$29.09	$40.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $161.16 / $161.16	Professional		$161.16	$161.16	$161.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $147.05 / $218.12	Professional		$88.47	$147.05	$218.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $50.09 / $68.81	Professional	26	$29.78	$50.09	$68.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.06 / $105.16 / $163.06	Professional	TC	$61.06	$105.16	$163.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.13 / $90.13 / $172.60	Facility	26	$90.13	$90.13	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $134.96 / $812.81	Professional		$100.81	$134.96	$812.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $46.44 / $240.49	Professional	26	$33.22	$46.44	$240.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.58 / $88.92 / $572.32	Professional	TC	$67.58	$88.92	$572.32
United Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $122.12 / $196.63	Professional		$100.81	$122.12	$196.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $41.85 / $66.40	Professional	26	$33.22	$41.85	$66.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.58 / $79.86 / $134.19	Professional	TC	$67.58	$79.86	$134.19