Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.76 / $39.86 / $51.44	Facility	26	$31.76	$39.86	$51.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $142.82 / $159.66	Professional		$101.36	$142.82	$159.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.09 / $46.35 / $49.77	Professional	26	$33.09	$46.35	$49.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.26 / $95.56 / $109.89	Professional	TC	$68.26	$95.56	$109.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.42 / $61.24 / $61.24	Professional	26	$54.42	$61.24	$61.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $147.69 / $202.81	Professional		$49.35	$147.69	$202.81
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 $117.55 / $135.58 / $216.27	Professional		$117.55	$135.58	$216.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.83 / $43.09 / $65.88	Professional	26	$29.83	$43.09	$65.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.52 / $92.88 / $166.58	Professional	TC	$81.52	$92.88	$166.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.49 / $219.49 / $219.49	Facility	26	$115.49	$219.49	$219.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $156.63 / $1,019.78	Professional		$128.02	$156.63	$1,019.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $50.40 / $310.80	Professional	26	$33.36	$50.40	$310.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.11 / $111.87 / $708.98	Professional	TC	$90.11	$111.87	$708.98
United Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $148.80 / $252.73	Professional		$127.99	$148.80	$252.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.61 / $47.75 / $72.48	Professional	26	$32.61	$47.75	$72.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.86 / $99.67 / $155.37	Professional	TC	$82.86	$99.67	$155.37