Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.98 / $21.25 / $39.67	Facility	26	$20.98	$21.25	$39.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $86.06 / $108.43	Professional		$80.97	$86.06	$108.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.99 / $21.85 / $28.36	Professional	26	$20.99	$21.85	$28.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.98 / $61.40 / $81.69	Professional	TC	$59.98	$61.40	$81.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $117.58 / $117.58	Professional		$117.58	$117.58	$117.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $24.06 / $32.47	Professional	26	$19.23	$24.06	$32.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $101.50 / $139.37	Professional		$27.18	$101.50	$139.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.11 / $42.11 / $42.11	Facility	26	$42.11	$42.11	$42.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $90.69 / $136.63	Professional		$69.63	$90.69	$136.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.75 / $25.82 / $39.24	Professional	26	$21.75	$25.82	$39.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.99 / $67.20 / $101.70	Professional	TC	$49.99	$67.20	$101.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $116.58 / $116.58	Facility	26	$61.02	$116.58	$116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $126.32 / $692.04	Professional		$95.21	$126.32	$692.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.49 / $30.85 / $165.29	Professional	26	$24.49	$30.85	$165.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.16 / $95.47 / $526.74	Professional	TC	$70.16	$95.47	$526.74
United Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $121.64 / $173.37	Professional		$92.68	$121.64	$173.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.49 / $30.85 / $42.41	Professional	26	$24.49	$30.85	$42.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.16 / $92.08 / $131.24	Professional	TC	$70.16	$92.08	$131.24