Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.02 / $46.23 / $65.08	Facility	26	$33.02	$46.23	$65.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $98.86 / $126.62	Professional		$97.49	$98.86	$126.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $27.52 / $37.58	Professional	26	$26.35	$27.52	$37.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.31 / $71.89 / $89.83	Professional	TC	$70.31	$71.89	$89.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $75.28 / $75.28	Professional		$75.28	$75.28	$75.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $21.14 / $30.30	Professional	26	$21.08	$21.14	$30.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $156.60 / $156.60	Professional		$156.60	$156.60	$156.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $132.65 / $185.81	Professional		$86.89	$132.65	$185.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $37.08 / $53.23	Professional	26	$24.07	$37.08	$53.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.14 / $96.03 / $132.58	Professional	TC	$63.14	$96.03	$132.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $67.03 / $67.03 / $128.65	Facility	26	$67.03	$67.03	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $129.34 / $674.54	Professional		$107.52	$129.34	$674.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $36.67 / $180.38	Professional	26	$30.32	$36.67	$180.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.81 / $92.67 / $494.15	Professional	TC	$76.81	$92.67	$494.15
United Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $120.68 / $202.33	Professional		$106.42	$120.68	$202.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $35.47 / $69.33	Professional	26	$30.32	$35.47	$69.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.81 / $89.00 / $142.16	Professional	TC	$76.81	$89.00	$142.16