Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.67 / $18.16 / $28.08	Facility	26	$14.67	$18.16	$28.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $93.27 / $116.53	Professional		$65.19	$93.27	$116.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $17.36 / $23.41	Professional	26	$12.48	$17.36	$23.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.72 / $73.73 / $95.10	Professional	TC	$52.72	$73.73	$95.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $68.04 / $68.04	Professional		$68.04	$68.04	$68.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.28 / $20.16 / $23.52	Professional	26	$19.28	$20.16	$23.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $94.15 / $129.28	Professional		$18.80	$94.15	$129.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.30 / $17.30 / $25.86	Facility	26	$17.30	$17.30	$25.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $86.31 / $153.77	Professional		$72.66	$86.31	$153.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $17.57 / $27.53	Professional	26	$15.31	$17.57	$27.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.24 / $70.01 / $120.34	Professional	TC	$59.24	$70.01	$120.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $42.12 / $81.76 / $81.76	Facility	26	$42.12	$81.76	$81.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $107.58 / $664.33	Professional		$79.47	$107.58	$664.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.59 / $20.21 / $113.72	Professional	26	$16.59	$20.21	$113.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.94 / $83.52 / $550.61	Professional	TC	$62.94	$83.52	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $95.51 / $149.93	Professional		$75.58	$95.51	$149.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $18.17 / $30.86	Professional	26	$16.26	$18.17	$30.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.34 / $77.70 / $118.00	Professional	TC	$55.34	$77.70	$118.00