Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.02 / $39.04 / $61.24	Facility	26	$33.02	$39.04	$61.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $113.03 / $153.88	Professional		$95.39	$113.03	$153.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $37.46 / $49.72	Professional	26	$29.75	$37.46	$49.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.76 / $80.18 / $95.77	Professional	TC	$66.76	$80.18	$95.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $74.81 / $156.03	Professional		$74.81	$74.81	$156.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $24.40 / $37.71	Professional	26	$24.14	$24.40	$37.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.18 / $41.18 / $53.85	Professional	TC	$41.18	$41.18	$53.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $155.72 / $155.72	Professional		$155.72	$155.72	$155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $139.26 / $191.41	Professional		$82.02	$139.26	$191.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $42.57 / $69.00	Professional	26	$26.99	$42.57	$69.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.34 / $91.73 / $130.16	Professional	TC	$55.34	$91.73	$130.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.02 / $171.00 / $171.00	Facility	26	$77.02	$171.00	$171.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $133.54 / $687.27	Professional		$109.49	$133.54	$687.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $42.93 / $254.27	Professional	26	$32.86	$42.93	$254.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.38 / $91.11 / $479.00	Professional	TC	$73.38	$91.11	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $124.11 / $214.69	Professional		$108.00	$124.11	$214.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.96 / $38.51 / $70.09	Professional	26	$33.96	$38.51	$70.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.38 / $84.16 / $137.18	Professional	TC	$73.38	$84.16	$137.18