Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.32 / $37.00 / $57.49	Facility	26	$31.32	$37.00	$57.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $90.46 / $111.62	Professional		$77.67	$90.46	$111.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $31.04 / $53.90	Professional	26	$27.64	$31.04	$53.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.56 / $54.95 / $67.39	Professional	TC	$47.56	$54.95	$67.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $86.90 / $120.58	Professional		$57.94	$86.90	$120.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $32.03 / $44.03	Professional	26	$22.87	$32.03	$44.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.07 / $54.80 / $67.63	Professional	TC	$35.07	$54.80	$67.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $131.18 / $131.18	Professional		$131.18	$131.18	$131.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $107.03 / $148.44	Professional		$63.28	$107.03	$148.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.14 / $40.35 / $55.44	Professional	26	$26.14	$40.35	$55.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.48 / $66.48 / $89.61	Professional	TC	$41.48	$66.48	$89.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.90 / $139.28 / $139.28	Facility	26	$72.90	$139.28	$139.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $103.53 / $524.64	Professional		$85.53	$103.53	$524.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $40.71 / $195.35	Professional	26	$30.60	$40.71	$195.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $64.28 / $329.23	Professional	TC	$52.19	$64.28	$329.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $98.49 / $165.24	Professional		$85.48	$98.49	$165.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $35.10 / $60.00	Professional	26	$30.60	$35.10	$60.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.19 / $60.86 / $97.25	Professional	TC	$51.19	$60.86	$97.25