Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.97 / $42.52 / $73.15	Facility	26	$36.97	$42.52	$73.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $133.38 / $158.90	Professional		$118.48	$133.38	$158.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $31.76 / $42.89	Professional	26	$30.53	$31.76	$42.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $98.57 / $118.92	Professional	TC	$87.95	$98.57	$118.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $139.38 / $145.47	Professional		$139.38	$139.38	$145.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.00 / $24.72 / $34.68	Professional	26	$24.00	$24.72	$34.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.23 / $224.23 / $224.23	Professional		$224.23	$224.23	$224.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $163.86 / $293.00	Professional		$90.92	$163.86	$293.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $42.55 / $59.43	Professional	26	$27.71	$42.55	$59.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.39 / $135.43 / $255.39	Professional	TC	$56.39	$135.43	$255.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $76.68 / $147.81 / $147.81	Facility	26	$76.68	$147.81	$147.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $175.87 / $898.89	Professional		$132.00	$175.87	$898.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $42.06 / $371.50	Professional	26	$33.63	$42.06	$371.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $98.37 / $138.15 / $695.99	Professional	TC	$98.37	$138.15	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $162.09 / $306.54	Professional		$130.63	$162.09	$306.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $37.45 / $61.39	Professional	26	$33.63	$37.45	$61.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.07 / $128.63 / $266.36	Professional	TC	$89.07	$128.63	$266.36