Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.73 / $33.81 / $55.96	Facility	26	$30.73	$33.81	$55.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $119.26 / $143.44	Professional		$96.59	$119.26	$143.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $36.44 / $41.89	Professional	26	$31.12	$36.44	$41.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.45 / $82.82 / $94.39	Professional	TC	$65.45	$82.82	$94.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $89.09 / $182.93	Professional		$89.09	$89.09	$182.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.49 / $36.45 / $55.32	Professional	26	$28.49	$36.45	$55.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $119.00 / $163.40	Professional		$38.50	$119.00	$163.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $59.27	Facility	26	$59.27	$59.27	$59.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $118.46 / $183.47	Professional		$101.93	$118.46	$183.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.05 / $38.31 / $55.96	Professional	26	$31.05	$38.31	$55.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.87 / $79.58 / $127.12	Professional	TC	$70.87	$79.58	$127.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $172.60 / $172.60	Facility	26	$90.38	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $150.06 / $810.58	Professional		$118.69	$150.06	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.86 / $46.28 / $242.65	Professional	26	$35.86	$46.28	$242.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.38 / $104.01 / $567.92	Professional	TC	$80.38	$104.01	$567.92
United Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $136.41 / $204.63	Professional		$110.25	$136.41	$204.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $42.52 / $62.79	Professional	26	$35.58	$42.52	$62.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.38 / $103.59 / $141.84	Professional	TC	$80.38	$103.59	$141.84