Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $45.46 / $81.51	Facility	26	$36.40	$45.46	$81.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $93.77 / $121.59	Professional		$80.06	$93.77	$121.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $37.11 / $52.69	Professional	26	$33.34	$37.11	$52.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.06 / $49.35 / $60.52	Professional	TC	$45.06	$49.35	$60.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $87.21 / $117.84	Professional		$61.75	$87.21	$117.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $38.81 / $43.88	Professional	26	$27.00	$38.81	$43.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.15 / $54.29 / $67.20	Professional	TC	$38.15	$54.29	$67.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $137.96 / $137.96	Professional		$137.96	$137.96	$137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $109.84 / $158.00	Professional		$66.84	$109.84	$158.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.18 / $48.58 / $67.53	Professional	26	$31.18	$48.58	$67.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.79 / $63.52 / $93.00	Professional	TC	$39.79	$63.52	$93.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $86.18 / $163.47	Facility	26	$86.18	$86.18	$163.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $114.05 / $555.44	Professional		$88.42	$114.05	$555.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $48.22 / $269.13	Professional	26	$36.61	$48.22	$269.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $49.08 / $66.70 / $351.46	Professional	TC	$49.08	$66.70	$351.46
United Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $96.40 / $154.05	Professional		$87.69	$96.40	$154.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $42.09 / $69.76	Professional	26	$37.36	$42.09	$69.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.95 / $58.38 / $91.10	Professional	TC	$48.95	$58.38	$91.10