Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.56 / $49.75 / $68.31	Facility	26	$36.56	$49.75	$68.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $60.92 / $124.24	Professional		$51.69	$60.92	$124.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $41.46 / $51.20	Professional	26	$24.78	$41.46	$51.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.32 / $12.31 / $80.80	Professional	TC	$10.32	$12.31	$80.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $40.52 / $51.46	Professional		$39.22	$40.52	$51.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $41.47 / $41.47	Professional	26	$41.47	$41.47	$41.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $155.18 / $155.18	Professional		$155.18	$155.18	$155.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $106.73 / $180.00	Professional		$47.19	$106.73	$180.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $40.15 / $60.00	Professional	26	$27.44	$40.15	$60.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.83 / $61.66 / $129.43	Professional	TC	$8.83	$61.66	$129.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.38 / $101.38 / $193.75	Facility	26	$101.38	$101.38	$193.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $125.04 / $558.63	Professional		$79.04	$125.04	$558.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.75 / $38.27 / $260.82	Professional	26	$31.75	$38.27	$260.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $92.91 / $430.88	Professional	TC	$46.92	$92.91	$430.88
United Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $118.29 / $153.07	Professional		$78.29	$118.29	$153.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.75 / $35.33 / $68.39	Professional	26	$31.75	$35.33	$68.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.32 / $73.44 / $105.89	Professional	TC	$45.32	$73.44	$105.89