Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.86 / $39.46 / $75.95	Facility	26	$37.86	$39.46	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $82.09 / $96.75	Professional		$75.43	$82.09	$96.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $33.06 / $50.39	Professional	26	$31.21	$33.06	$50.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.21 / $49.03 / $67.14	Professional	TC	$44.21	$49.03	$67.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $58.43 / $58.43	Professional		$58.43	$58.43	$58.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $24.68 / $35.27	Professional	26	$24.53	$24.68	$35.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $119.44 / $119.44	Professional		$119.44	$119.44	$119.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $111.11 / $146.97	Professional		$65.87	$111.11	$146.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $47.28 / $62.52	Professional	26	$27.56	$47.28	$62.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $64.09 / $95.39	Professional	TC	$38.32	$64.09	$95.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $78.25 / $149.85	Facility	26	$78.25	$78.25	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $97.63 / $546.16	Professional		$82.17	$97.63	$546.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $42.38 / $210.44	Professional	26	$35.67	$42.38	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.50 / $55.25 / $335.78	Professional	TC	$46.50	$55.25	$335.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $87.93 / $138.72	Professional		$81.36	$87.93	$138.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.32 / $39.00 / $60.74	Professional	26	$35.32	$39.00	$60.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.73 / $52.35 / $81.59	Professional	TC	$45.73	$52.35	$81.59