Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.57 / $39.09 / $72.31	Facility	26	$36.57	$39.09	$72.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $71.70 / $320.88	Professional		$62.40	$71.70	$320.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $36.57 / $92.57	Professional	26	$31.28	$36.57	$92.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.30 / $35.14 / $45.02	Professional	TC	$31.30	$35.14	$45.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $48.49 / $72.73	Professional		$48.49	$48.49	$72.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $38.18 / $51.88	Professional	26	$24.44	$38.18	$51.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $24.78 / $24.78	Professional	TC	$24.78	$24.78	$24.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $114.58 / $114.58	Professional		$114.58	$114.58	$114.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $87.09 / $171.00	Professional		$56.54	$87.09	$171.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $44.17 / $94.00	Professional	26	$27.72	$44.17	$94.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.45 / $49.74 / $77.00	Professional	TC	$31.45	$49.74	$77.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $76.59 / $76.59	Facility	26	$76.59	$76.59	$76.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $93.40 / $468.00	Professional		$67.84	$93.40	$468.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.55 / $378.10	Professional	26	$33.11	$41.55	$378.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $56.55 / $378.10	Professional	TC	$34.29	$56.55	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $92.92 / $129.22	Professional		$66.01	$92.92	$129.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.06 / $36.85 / $65.87	Professional	26	$33.06	$36.85	$65.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.89 / $46.75 / $64.63	Professional	TC	$32.89	$46.75	$64.63