Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.67 / $27.00 / $27.00	Facility	26	$26.67	$27.00	$27.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $77.18 / $85.97	Professional		$54.45	$77.18	$85.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.50 / $31.79 / $33.82	Professional	26	$22.50	$31.79	$33.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $45.22 / $52.15	Professional	TC	$31.95	$45.22	$52.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.36 / $52.36 / $54.42	Professional	26	$52.36	$52.36	$54.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $79.45 / $109.10	Professional		$33.25	$79.45	$109.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.07 / $53.07 / $53.07	Facility	26	$53.07	$53.07	$53.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $74.00 / $115.86	Professional		$63.36	$74.00	$115.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $32.79 / $49.96	Professional	26	$27.76	$32.79	$49.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $40.64 / $64.09	Professional	TC	$35.61	$40.64	$64.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $149.85 / $149.85	Facility	26	$78.25	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $87.93 / $546.16	Professional		$71.17	$87.93	$546.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $37.53 / $210.44	Professional	26	$30.37	$37.53	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.79 / $50.40 / $335.78	Professional	TC	$39.79	$50.40	$335.78
United Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $83.73 / $140.00	Professional		$67.33	$83.73	$140.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $35.36 / $57.17	Professional	26	$30.37	$35.36	$57.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $48.00 / $75.45	Professional	TC	$38.40	$48.00	$75.45