Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.83 / $54.35 / $105.54	Facility	26	$21.83	$54.35	$105.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $107.83 / $162.68	Professional		$92.62	$107.83	$162.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $44.44 / $54.94	Professional	26	$15.71	$44.44	$54.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.19 / $55.69 / $129.36	Professional	TC	$48.19	$55.69	$129.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $33.68 / $48.42	Professional	26	$33.68	$33.68	$48.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.69 / $299.69 / $299.69	Professional		$299.69	$299.69	$299.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $154.91 / $756.38	Professional		$65.79	$154.91	$756.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.08 / $30.71 / $83.07	Professional	26	$15.08	$30.71	$83.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.31 / $97.14 / $723.00	Professional	TC	$54.31	$97.14	$723.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $108.25 / $108.25 / $205.87	Facility	26	$108.25	$108.25	$205.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $317.88 / $2,899.89	Professional		$108.93	$317.88	$2,899.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $54.32 / $425.60	Professional	26	$17.75	$54.32	$425.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $300.13 / $2,808.09	Professional	TC	$59.18	$300.13	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $153.97 / $489.50	Professional		$107.86	$153.97	$489.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $49.83 / $79.68	Professional	26	$17.75	$49.83	$79.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.03 / $81.47 / $330.14	Professional	TC	$58.03	$81.47	$330.14