Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $42.68 / $66.83	Facility	26	$36.04	$42.68	$66.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $91.21 / $131.16	Professional		$88.47	$91.21	$131.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $40.94 / $62.02	Professional	26	$32.13	$40.94	$62.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.82 / $56.82 / $76.22	Professional	TC	$53.82	$56.82	$76.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $94.76 / $141.32	Professional		$65.92	$94.76	$141.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $37.94 / $42.89	Professional	26	$26.39	$37.94	$42.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $56.82 / $77.76	Professional	TC	$42.00	$56.82	$77.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $145.58 / $145.58	Professional		$145.58	$145.58	$145.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $122.23 / $170.56	Professional		$72.80	$122.23	$170.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $47.26 / $65.72	Professional	26	$30.35	$47.26	$65.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.73 / $74.98 / $102.32	Professional	TC	$46.73	$74.98	$102.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.15 / $84.15 / $163.00	Facility	26	$84.15	$84.15	$163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $117.29 / $600.27	Professional		$97.44	$117.29	$600.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.13 / $46.90 / $233.19	Professional	26	$35.13	$46.90	$233.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.08 / $70.39 / $372.64	Professional	TC	$59.08	$70.39	$372.64
United Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $107.18 / $165.65	Professional		$96.48	$107.18	$165.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.34 / $43.02 / $76.66	Professional	26	$36.34	$43.02	$76.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.80 / $66.79 / $111.80	Professional	TC	$58.80	$66.79	$111.80