Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.86 / $23.14 / $41.37	Facility	26	$17.86	$23.14	$41.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $103.93 / $145.47	Professional		$95.09	$103.93	$145.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $17.70 / $26.35	Professional	26	$16.60	$17.70	$26.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.92 / $87.32 / $119.21	Professional	TC	$77.92	$87.32	$119.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $18.98 / $18.98	Professional	26	$13.21	$18.98	$18.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $118.94	Professional		$118.94	$118.94	$118.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $128.61 / $188.85	Professional		$68.67	$128.61	$188.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $25.31 / $33.86	Professional	26	$16.17	$25.31	$33.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.76 / $111.40 / $160.59	Professional	TC	$57.76	$111.40	$160.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $42.12 / $42.12 / $81.76	Facility	26	$42.12	$42.12	$81.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $113.27 / $664.33	Professional		$93.07	$113.27	$664.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.73 / $22.72 / $113.72	Professional	26	$17.73	$22.72	$113.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.34 / $89.91 / $550.61	Professional	TC	$75.34	$89.91	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $102.38 / $170.56	Professional		$92.91	$102.38	$170.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.73 / $20.82 / $32.78	Professional	26	$17.73	$20.82	$32.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.73 / $81.52 / $137.78	Professional	TC	$74.73	$81.52	$137.78