Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.32 / $34.18 / $56.18	Facility	26	$24.32	$34.18	$56.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $48.57 / $115.64	Professional		$44.99	$48.57	$115.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $24.32 / $41.64	Professional	26	$24.02	$24.32	$41.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.67 / $21.22 / $89.34	Professional	TC	$10.67	$21.22	$89.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $39.33	Professional		$39.33	$39.33	$39.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $62.30 / $85.55	Professional		$30.10	$62.30	$85.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.09 / $45.09 / $45.09	Facility	26	$45.09	$45.09	$45.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $90.75 / $133.32	Professional		$47.19	$90.75	$133.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $29.49 / $58.05	Professional	26	$24.53	$29.49	$58.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.83 / $62.94 / $100.59	Professional	TC	$8.83	$62.94	$100.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.38 / $193.75 / $193.75	Facility	26	$101.38	$193.75	$193.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $98.01 / $558.63	Professional		$63.23	$98.01	$558.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $35.43 / $260.82	Professional	26	$27.94	$35.43	$260.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $82.37 / $430.88	Professional	TC	$39.88	$82.37	$430.88
United Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $105.91 / $146.75	Professional		$68.76	$105.91	$146.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.30 / $34.35 / $61.16	Professional	26	$27.30	$34.35	$61.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $66.19 / $105.89	Professional	TC	$39.88	$66.19	$105.89