Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.06 / $37.52 / $57.77	Facility	26	$30.06	$37.52	$57.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $277.49 / $315.39	Professional		$210.18	$277.49	$315.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.97 / $35.19 / $37.53	Professional	26	$24.97	$35.19	$37.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.21 / $241.93 / $277.86	Professional	TC	$185.21	$241.93	$277.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $27.51 / $27.51	Professional	26	$27.51	$27.51	$27.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $304.14 / $417.64	Professional		$39.81	$304.14	$417.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $260.18 / $375.48	Professional		$217.81	$260.18	$375.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.64 / $36.47 / $56.85	Professional	26	$32.64	$36.47	$56.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.84 / $222.41 / $325.52	Professional	TC	$183.84	$222.41	$325.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $168.00 / $168.00	Facility	26	$87.37	$168.00	$168.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $323.11 / $760.48	Professional		$216.45	$323.11	$760.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.89 / $39.00 / $96.55	Professional	26	$31.89	$39.00	$96.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $264.37 / $739.04	Professional	TC	$184.56	$264.37	$739.04
United Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $292.02 / $631.59	Professional		$216.45	$292.02	$631.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $39.00 / $59.55	Professional	26	$31.76	$39.00	$59.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.56 / $264.37 / $596.50	Professional	TC	$184.56	$264.37	$596.50