Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.38 / $74.59 / $133.97	Facility	26	$67.38	$74.59	$133.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $136.38 / $199.49	Professional		$119.74	$136.38	$199.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $59.60 / $79.06	Professional	26	$53.67	$59.60	$79.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.33 / $69.01 / $115.66	Professional	TC	$61.33	$69.01	$115.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $91.42 / $137.12	Professional		$91.42	$91.42	$137.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.09 / $70.45 / $95.37	Professional	26	$45.09	$70.45	$95.37
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.72 / $47.72 / $47.72	Professional	TC	$47.72	$47.72	$47.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.39 / $253.39 / $253.39	Professional		$253.39	$253.39	$253.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $187.58 / $289.00	Professional		$120.12	$187.58	$289.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.04 / $87.72 / $105.60	Professional	26	$55.04	$87.72	$105.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.67 / $104.29 / $187.00	Professional	TC	$66.67	$104.29	$187.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.46 / $141.46 / $141.46	Facility	26	$141.46	$141.46	$141.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $208.85 / $1,049.00	Professional		$130.28	$208.85	$1,049.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $82.41 / $855.01	Professional	26	$63.20	$82.41	$855.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $134.66 / $724.87	Professional	TC	$67.48	$134.66	$724.87
United Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $199.37 / $249.93	Professional		$126.69	$199.37	$249.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.96 / $73.44 / $122.81	Professional	26	$61.96	$73.44	$122.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.45 / $107.97 / $144.54	Professional	TC	$65.45	$107.97	$144.54