Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.94 / $60.32 / $90.75	Facility	26	$48.94	$60.32	$90.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $116.75 / $167.10	Professional		$80.31	$116.75	$167.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.10 / $55.87 / $62.61	Professional	26	$39.10	$55.87	$62.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.22 / $60.72 / $94.98	Professional	TC	$41.22	$60.72	$94.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $158.83 / $190.93	Professional		$96.43	$158.83	$190.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.13 / $66.56 / $98.41	Professional	26	$45.13	$66.56	$98.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $117.95 / $161.96	Professional		$69.89	$117.95	$161.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $132.86 / $205.94	Professional		$107.77	$132.86	$205.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $58.07 / $90.50	Professional	26	$51.29	$58.07	$90.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.19 / $75.45 / $116.45	Professional	TC	$54.19	$75.45	$116.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.46 / $347.58 / $347.58	Facility	26	$141.46	$347.58	$347.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $156.37 / $1,049.00	Professional		$110.74	$156.37	$1,049.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.38 / $72.22 / $855.01	Professional	26	$53.38	$72.22	$855.01
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.36 / $85.55 / $724.87	Professional	TC	$57.36	$85.55	$724.87
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $149.82 / $213.16	Professional		$108.13	$149.82	$213.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.24 / $68.26 / $95.42	Professional	26	$50.24	$68.26	$95.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.01 / $78.55 / $139.74	Professional	TC	$56.01	$78.55	$139.74