Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.46 / $49.60 / $75.59	Facility	26	$40.46	$49.60	$75.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $107.51 / $167.89	Professional		$93.43	$107.51	$167.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $44.99 / $55.74	Professional	26	$36.61	$44.99	$55.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $67.42 / $92.38	Professional	TC	$56.82	$67.42	$92.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $110.14 / $166.86	Professional		$77.98	$110.14	$166.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $41.79 / $57.39	Professional	26	$29.84	$41.79	$57.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.44 / $68.95 / $92.43	Professional	TC	$52.44	$68.95	$92.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.86 / $152.86 / $152.86	Professional		$152.86	$152.86	$152.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $114.00 / $193.16	Professional		$79.48	$114.00	$193.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.52 / $53.46 / $74.80	Professional	26	$34.52	$53.46	$74.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.26 / $89.48 / $124.11	Professional	TC	$56.26	$89.48	$124.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.69 / $181.68 / $181.68	Facility	26	$95.69	$181.68	$181.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $134.04 / $708.49	Professional		$102.08	$134.04	$708.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.42 / $53.09 / $257.68	Professional	26	$40.42	$53.09	$257.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $83.60 / $450.80	Professional	TC	$61.66	$83.60	$450.80
United Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $119.30 / $205.19	Professional		$102.08	$119.30	$205.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.42 / $46.06 / $73.81	Professional	26	$40.42	$46.06	$73.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.12 / $73.56 / $117.33	Professional	TC	$56.12	$73.56	$117.33