Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.19 / $57.56 / $86.98	Facility	26	$47.19	$57.56	$86.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $131.25 / $169.05	Professional		$112.32	$131.25	$169.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $53.80 / $72.41	Professional	26	$42.60	$53.80	$72.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.95 / $76.83 / $95.58	Professional	TC	$66.95	$76.83	$95.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $93.54 / $179.45	Professional		$83.76	$93.54	$179.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.85 / $48.74 / $54.45	Professional	26	$34.85	$48.74	$54.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.90 / $59.33 / $94.23	Professional	TC	$48.90	$59.33	$94.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $162.34 / $162.34	Professional		$162.34	$162.34	$162.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $151.15 / $216.03	Professional		$92.44	$151.15	$216.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.76 / $61.86 / $85.83	Professional	26	$39.76	$61.86	$85.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.80 / $92.55 / $126.53	Professional	TC	$57.80	$92.55	$126.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $111.13 / $111.13 / $211.96	Facility	26	$111.13	$111.13	$211.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $153.00 / $757.96	Professional		$124.51	$153.00	$757.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.45 / $62.38 / $312.14	Professional	26	$46.45	$62.38	$312.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $91.00 / $470.82	Professional	TC	$73.62	$91.00	$470.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $140.25 / $231.19	Professional		$123.34	$140.25	$231.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.31 / $53.73 / $85.01	Professional	26	$49.31	$53.73	$85.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.02 / $84.73 / $135.72	Professional	TC	$72.02	$84.73	$135.72