Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.56 / $46.47 / $72.54	Facility	26	$40.56	$46.47	$72.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $87.92 / $105.29	Professional		$60.44	$87.92	$105.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.64 / $46.23 / $49.64	Professional	26	$32.64	$46.23	$49.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.80 / $41.09 / $61.86	Professional	TC	$27.80	$41.09	$61.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $72.80 / $72.80	Professional		$72.80	$72.80	$72.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.19 / $55.19 / $75.31	Professional	26	$55.19	$55.19	$75.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $88.55 / $121.59	Professional		$48.66	$88.55	$121.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $93.91 / $144.87	Professional		$81.37	$93.91	$144.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $46.08 / $73.63	Professional	26	$42.70	$46.08	$73.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.94 / $49.69 / $81.58	Professional	TC	$36.94	$49.69	$81.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $262.14 / $262.14	Facility	26	$117.07	$262.14	$262.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $117.79 / $1,141.00	Professional		$82.21	$117.79	$1,141.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.48 / $56.84 / $493.68	Professional	26	$44.48	$56.84	$493.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.72 / $56.37 / $900.73	Professional	TC	$37.72	$56.37	$900.73
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $106.39 / $190.90	Professional		$77.38	$106.39	$190.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.06 / $54.95 / $78.50	Professional	26	$43.06	$54.95	$78.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.51 / $51.05 / $134.06	Professional	TC	$35.51	$51.05	$134.06