Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $50.12 / $91.20	Facility	26	$36.31	$50.12	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $275.42	Professional		$93.33	$165.96	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $104.71	Professional	26	$34.67	$56.23	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $75.86 / $154.88	Professional	TC	$56.23	$75.86	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $131.83	Professional		$70.79	$83.18	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $51.29	Professional	26	$30.20	$38.90	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $63.10 / $85.11	Professional	TC	$43.65	$63.10	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $204.17	Professional		$79.43	$114.82	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $79.43	Professional	26	$34.67	$46.77	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $75.86 / $128.82	Professional	TC	$56.23	$75.86	$128.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $181.97 / $181.97	Facility	26	$95.50	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $707.95	Professional		$102.33	$138.04	$707.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $257.04	Professional	26	$40.74	$54.95	$257.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $446.68	Professional	TC	$61.66	$85.11	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $186.21	Professional		$102.33	$120.23	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $45.71 / $74.13	Professional	26	$40.74	$45.71	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $74.13 / $114.82	Professional	TC	$57.54	$74.13	$114.82