Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.28 / $32.35 / $59.81	Facility	26	$26.28	$32.35	$59.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $102.57 / $122.64	Professional		$86.06	$102.57	$122.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $26.04 / $34.86	Professional	26	$24.64	$26.04	$34.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $76.04 / $91.70	Professional	TC	$61.40	$76.04	$91.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $84.25 / $84.25	Professional		$84.25	$84.25	$84.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.11 / $19.36 / $27.46	Professional	26	$19.11	$19.36	$27.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $137.61 / $137.61	Professional		$137.61	$137.61	$137.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $115.78 / $181.63	Professional		$77.95	$115.78	$181.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $34.61 / $49.44	Professional	26	$22.07	$34.61	$49.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.44 / $88.06 / $136.08	Professional	TC	$57.44	$88.06	$136.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $61.02 / $116.58	Facility	26	$61.02	$61.02	$116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $127.44 / $692.04	Professional		$111.41	$127.44	$692.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $33.40 / $165.29	Professional	26	$27.95	$33.40	$165.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.50 / $96.47 / $526.74	Professional	TC	$81.50	$96.47	$526.74
United Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $117.54 / $196.95	Professional		$107.09	$117.54	$196.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $30.96 / $50.03	Professional	26	$27.95	$30.96	$50.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.54 / $89.83 / $140.32	Professional	TC	$78.54	$89.83	$140.32