Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.66 / $36.20 / $56.85	Facility	26	$30.66	$36.20	$56.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $111.82 / $134.63	Professional		$93.03	$111.82	$134.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $34.72 / $47.45	Professional	26	$27.82	$34.72	$47.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.03 / $78.97 / $96.01	Professional	TC	$64.03	$78.97	$96.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $71.18 / $164.61	Professional		$71.18	$71.18	$164.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $22.97 / $32.17	Professional	26	$22.37	$22.97	$32.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.81 / $48.81 / $79.31	Professional	TC	$48.81	$48.81	$79.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $137.82 / $137.82	Professional		$137.82	$137.82	$137.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $119.38 / $177.78	Professional		$71.65	$119.38	$177.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $39.60 / $54.41	Professional	26	$25.04	$39.60	$54.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.35 / $81.00 / $132.72	Professional	TC	$40.35	$81.00	$132.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $71.41 / $136.22 / $136.22	Facility	26	$71.41	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $128.25 / $654.87	Professional		$103.43	$128.25	$654.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $39.83 / $217.94	Professional	26	$30.59	$39.83	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.09 / $88.68 / $461.63	Professional	TC	$69.09	$88.68	$461.63
United Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $120.69 / $205.48	Professional		$102.12	$120.69	$205.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $34.29 / $55.22	Professional	26	$30.59	$34.29	$55.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.72 / $79.36 / $136.00	Professional	TC	$65.72	$79.36	$136.00