Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.84 / $37.27 / $51.44	Facility	26	$30.84	$37.27	$51.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $112.29 / $127.27	Professional		$79.83	$112.29	$127.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $34.93 / $38.54	Professional	26	$25.62	$34.93	$38.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.21 / $77.37 / $88.74	Professional	TC	$54.21	$77.37	$88.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.46 / $48.03 / $48.03	Professional	26	$28.46	$48.03	$48.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $116.20 / $159.56	Professional		$38.15	$116.20	$159.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.86 / $31.86 / $51.04	Facility	26	$31.86	$31.86	$51.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $103.11 / $161.46	Professional		$86.34	$103.11	$161.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $34.15 / $55.17	Professional	26	$28.47	$34.15	$55.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.61 / $68.44 / $110.22	Professional	TC	$56.61	$68.44	$110.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.13 / $172.60 / $172.60	Facility	26	$90.13	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.43 / $125.94 / $812.81	Professional		$98.43	$125.94	$812.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $40.47 / $240.49	Professional	26	$33.20	$40.47	$240.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $65.51 / $80.84 / $572.32	Professional	TC	$65.51	$80.84	$572.32
United Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $113.78 / $185.67	Professional		$98.19	$113.78	$185.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.74 / $37.35 / $62.25	Professional	26	$32.74	$37.35	$62.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.04 / $75.18 / $129.08	Professional	TC	$65.04	$75.18	$129.08