Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.19 / $50.82 / $88.18	Facility	26	$46.19	$50.82	$88.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $131.43 / $159.10	Professional		$66.58	$131.43	$159.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $39.27 / $53.88	Professional	26	$36.49	$39.27	$53.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $92.95 / $111.88	Professional	TC	$12.70	$92.95	$111.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.65 / $42.65 / $42.65	Professional	26	$42.65	$42.65	$42.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $163.77 / $163.77	Professional		$163.77	$163.77	$163.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $106.58 / $207.88	Professional		$52.26	$106.58	$207.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.49 / $59.47 / $69.00	Professional	26	$37.49	$59.47	$69.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.94 / $58.44 / $153.44	Professional	TC	$8.94	$58.44	$153.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $92.97 / $92.97 / $92.97	Facility	26	$92.97	$92.97	$92.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $140.04 / $886.70	Professional		$93.05	$140.04	$886.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.04 / $55.06 / $414.43	Professional	26	$41.04	$55.06	$414.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.66 / $90.52 / $639.54	Professional	TC	$53.66	$90.52	$639.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $127.26 / $232.34	Professional		$91.56	$127.26	$232.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.24 / $49.59 / $79.84	Professional	26	$40.24	$49.59	$79.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $84.28 / $152.38	Professional	TC	$22.79	$84.28	$152.38