Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $64.57 / $263.03	Facility	26	$37.15	$64.57	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $69.18	Professional		$47.86	$61.66	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $53.70	Professional	26	$32.36	$42.66	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $21.38	Professional	TC	$12.88	$18.20	$21.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $58.88	Professional	26	$51.29	$51.29	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $85.11	Professional		$44.67	$61.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $100.00	Professional		$54.95	$61.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $43.65 / $72.44	Professional	26	$39.81	$43.65	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $16.98 / $27.54	Professional	TC	$14.79	$16.98	$27.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $208.93 / $208.93	Facility	26	$107.15	$208.93	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $407.38	Professional		$54.95	$74.13	$407.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $407.38	Professional	26	$38.02	$50.12	$407.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $407.38	Professional	TC	$15.14	$20.89	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $100.00	Professional		$53.70	$67.61	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $70.79	Professional	26	$38.02	$47.86	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.95 / $28.84	Professional	TC	$15.14	$19.95	$28.84