Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $15.14 / $72.44	Facility	26	$12.02	$15.14	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $275.42	Professional		$83.18	$112.20	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $54.95	Professional	26	$10.96	$14.13	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $95.50 / $218.78	Professional	TC	$72.44	$95.50	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.38 / $18.62	Professional	26	$8.91	$17.38	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $102.33 / $141.25	Professional		$12.02	$102.33	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $11.48 / $16.60	Facility	26	$11.48	$11.48	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $213.80	Professional		$89.13	$128.82	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.75 / $19.95	Professional	26	$9.55	$11.75	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $117.49 / $186.21	Professional	TC	$77.62	$117.49	$186.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $109.65 / $109.65	Facility	26	$85.11	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $870.96	Professional		$97.72	$128.82	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.18 / $269.15	Professional	26	$10.00	$13.18	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $128.82 / $812.83	Professional	TC	$87.10	$128.82	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $213.80	Professional		$97.72	$120.23	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $18.62	Professional	26	$10.00	$12.59	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $107.15 / $194.98	Professional	TC	$87.10	$107.15	$194.98