Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.76 / $37.86 / $59.40	Facility	26	$31.76	$37.86	$59.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $121.45 / $145.08	Professional		$91.47	$121.45	$145.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $34.93 / $42.92	Professional	26	$28.53	$34.93	$42.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.94 / $88.29 / $102.16	Professional	TC	$62.94	$88.29	$102.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.51 / $31.51 / $66.92	Professional	26	$31.51	$31.51	$66.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $133.35 / $183.11	Professional		$42.35	$133.35	$183.11
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 $97.92 / $116.09 / $183.14	Professional		$97.92	$116.09	$183.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $37.90 / $57.21	Professional	26	$28.47	$37.90	$57.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.78 / $79.58 / $131.90	Professional	TC	$67.78	$79.58	$131.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.12 / $190.76 / $190.76	Facility	26	$100.12	$190.76	$190.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $143.52 / $927.52	Professional		$112.60	$143.52	$927.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $43.88 / $268.38	Professional	26	$33.36	$43.88	$268.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.89 / $94.60 / $659.08	Professional	TC	$77.89	$94.60	$659.08
United Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $128.46 / $214.25	Professional		$110.36	$128.46	$214.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.19 / $42.24 / $73.90	Professional	26	$33.19	$42.24	$73.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.17 / $89.83 / $141.84	Professional	TC	$77.17	$89.83	$141.84