Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.13 / $23.13 / $23.13	Facility	26	$23.13	$23.13	$23.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $86.41 / $117.15	Professional		$79.13	$86.41	$117.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $23.82 / $30.45	Professional	26	$22.85	$23.82	$30.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.28 / $62.22 / $86.03	Professional	TC	$56.28	$62.22	$86.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $35.78 / $35.78	Professional	26	$35.78	$35.78	$35.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $99.05 / $136.01	Professional		$28.97	$99.05	$136.01
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 $77.56 / $94.63 / $148.68	Professional		$77.56	$94.63	$148.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.37 / $27.80 / $42.61	Professional	26	$23.37	$27.80	$42.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.20 / $66.81 / $105.40	Professional	TC	$54.20	$66.81	$105.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $67.03 / $128.65 / $128.65	Facility	26	$67.03	$128.65	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $120.49 / $674.54	Professional		$95.45	$120.49	$674.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.77 / $35.43 / $180.38	Professional	26	$25.77	$35.43	$180.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $91.16 / $494.15	Professional	TC	$67.48	$91.16	$494.15
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $115.20 / $195.28	Professional		$93.25	$115.20	$195.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.77 / $32.40 / $46.74	Professional	26	$25.77	$32.40	$46.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.89 / $82.88 / $118.81	Professional	TC	$65.89	$82.88	$118.81