Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $36.31 / $169.82	Facility	26	$30.90	$36.31	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $275.42	Professional		$72.44	$123.03	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $66.07	Professional	26	$25.12	$37.15	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $85.11 / $190.55	Professional	TC	$47.86	$85.11	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $25.70 / $41.69	Professional	26	$16.22	$25.70	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $97.72 / $134.90	Professional		$28.18	$97.72	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $190.55	Professional		$75.86	$97.72	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $27.54 / $56.23	Professional	26	$21.88	$27.54	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $69.18 / $134.90	Professional	TC	$50.12	$69.18	$134.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $257.04 / $257.04	Facility	26	$199.53	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $660.69	Professional		$81.28	$107.15	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $29.51 / $173.78	Professional	26	$24.55	$29.51	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $77.62 / $489.78	Professional	TC	$56.23	$77.62	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $158.49	Professional		$81.28	$102.33	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $29.51 / $43.65	Professional	26	$24.55	$29.51	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $74.13 / $112.20	Professional	TC	$56.23	$74.13	$112.20