Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.68 / $32.28 / $60.51	Facility	26	$30.68	$32.28	$60.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $97.65 / $114.53	Professional		$92.43	$97.65	$114.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $26.37 / $37.84	Professional	26	$23.17	$26.37	$37.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.15 / $71.29 / $89.16	Professional	TC	$69.15	$71.29	$89.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.34 / $19.43 / $25.28	Professional	26	$19.34	$19.43	$25.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Professional		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $130.40 / $182.21	Professional		$72.15	$130.40	$182.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $37.85 / $48.20	Professional	26	$21.76	$37.85	$48.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.55 / $101.71 / $142.53	Professional	TC	$52.55	$101.71	$142.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.65 / $61.65 / $118.08	Facility	26	$61.65	$61.65	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $107.76 / $642.13	Professional		$93.99	$107.76	$642.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.04 / $32.45 / $167.46	Professional	26	$26.04	$32.45	$167.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.73 / $75.95 / $474.67	Professional	TC	$66.73	$75.95	$474.67
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $99.77 / $158.76	Professional		$93.60	$99.77	$158.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.04 / $29.03 / $46.53	Professional	26	$26.04	$29.03	$46.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.42 / $70.25 / $115.95	Professional	TC	$65.42	$70.25	$115.95