Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.40 / $42.86 / $62.90	Facility	26	$33.40	$42.86	$62.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $124.76 / $153.78	Professional		$66.51	$124.76	$153.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $34.35 / $42.86	Professional	26	$24.03	$34.35	$42.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $90.40 / $126.76	Professional	TC	$42.50	$90.40	$126.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $20.35 / $20.60	Professional	26	$11.00	$20.35	$20.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $157.35 / $157.35	Professional		$157.35	$157.35	$157.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $135.13 / $174.43	Professional		$77.65	$135.13	$174.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.64 / $39.09 / $51.33	Professional	26	$22.64	$39.09	$51.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.99 / $94.05 / $126.56	Professional	TC	$54.99	$94.05	$126.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $200.24 / $255.84 / $255.84	Facility	26	$200.24	$255.84	$255.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $123.59 / $659.39	Professional		$88.09	$123.59	$659.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.63 / $36.40 / $173.89	Professional	26	$27.63	$36.40	$173.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.46 / $88.70 / $485.50	Professional	TC	$60.46	$88.70	$485.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $117.11 / $180.98	Professional		$88.09	$117.11	$180.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.63 / $32.54 / $51.09	Professional	26	$27.63	$32.54	$51.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.46 / $84.56 / $130.68	Professional	TC	$60.46	$84.56	$130.68