Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.98 / $45.60 / $82.15	Facility	26	$40.98	$45.60	$82.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $140.74 / $170.54	Professional		$137.34	$140.74	$170.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $34.67 / $42.72	Professional	26	$32.57	$34.67	$42.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.45 / $106.08 / $127.82	Professional	TC	$104.45	$106.08	$127.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.56 / $38.17 / $38.17	Professional	26	$26.56	$38.17	$38.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $214.53 / $214.53	Professional		$214.53	$214.53	$214.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $181.45 / $261.33	Professional		$115.32	$181.45	$261.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.77 / $47.01 / $64.59	Professional	26	$29.77	$47.01	$64.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.30 / $137.72 / $198.14	Professional	TC	$86.30	$137.72	$198.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.74 / $84.74 / $161.97	Facility	26	$84.74	$84.74	$161.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $175.08 / $968.58	Professional		$134.65	$175.08	$968.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.24 / $46.13 / $227.63	Professional	26	$36.24	$46.13	$227.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $98.41 / $131.80 / $740.95	Professional	TC	$98.41	$131.80	$740.95
United Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $161.50 / $257.68	Professional		$134.65	$161.50	$257.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.24 / $41.54 / $71.44	Professional	26	$36.24	$41.54	$71.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.41 / $122.73 / $211.11	Professional	TC	$98.41	$122.73	$211.11