Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.49 / $66.00	Facility	26	$38.02	$38.49	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $149.99 / $168.63	Professional		$121.95	$149.99	$168.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.49 / $44.82 / $51.61	Professional	26	$38.49	$44.82	$51.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.46 / $105.50 / $120.78	Professional	TC	$83.46	$105.50	$120.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $157.90 / $230.48	Professional		$112.22	$157.90	$230.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $44.81 / $67.94	Professional	26	$35.02	$44.81	$67.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $150.85 / $207.14	Professional		$47.60	$150.85	$207.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.68 / $73.68 / $73.68	Facility	26	$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.29 / $150.16 / $232.73	Professional		$129.29	$150.16	$232.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $47.01 / $69.53	Professional	26	$38.61	$47.01	$69.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.68 / $101.45 / $162.63	Professional	TC	$90.68	$101.45	$162.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $111.37 / $211.96 / $211.96	Facility	26	$111.37	$211.96	$211.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $189.24 / $1,024.30	Professional		$149.46	$189.24	$1,024.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.95 / $56.55 / $300.10	Professional	26	$43.95	$56.55	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $102.46 / $132.59 / $724.19	Professional	TC	$102.46	$132.59	$724.19
United Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $188.97 / $257.69	Professional		$146.02	$188.97	$257.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $54.91 / $75.29	Professional	26	$43.56	$54.91	$75.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.46 / $122.45 / $180.81	Professional	TC	$102.46	$122.45	$180.81