Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.42 / $30.28 / $47.66	Facility	26	$26.42	$30.28	$47.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $62.30 / $75.63	Professional		$42.30	$62.30	$75.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $30.12 / $35.19	Professional	26	$21.10	$30.12	$35.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.20 / $31.12 / $40.04	Professional	TC	$21.20	$31.12	$40.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $84.42 / $101.30	Professional		$51.26	$84.42	$101.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $36.15 / $51.93	Professional	26	$24.51	$36.15	$51.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $61.95 / $85.07	Professional		$31.70	$61.95	$85.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $60.85 / $94.32	Professional		$54.03	$60.85	$94.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.43 / $30.25 / $48.00	Professional	26	$27.43	$30.25	$48.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.57 / $30.37 / $49.16	Professional	TC	$26.57	$30.37	$49.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $170.00 / $170.00	Facility	26	$76.59	$170.00	$170.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $79.29 / $468.00	Professional		$56.32	$79.29	$468.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $36.95 / $378.10	Professional	26	$28.53	$36.95	$378.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $39.43 / $378.10	Professional	TC	$29.14	$39.43	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $74.92 / $103.09	Professional		$54.28	$74.92	$103.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.66 / $35.20 / $50.34	Professional	26	$27.66	$35.20	$50.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $37.36 / $58.26	Professional	TC	$27.43	$37.36	$58.26