Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $56.23 / $63.10	Facility	26	$32.36	$56.23	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $309.03	Professional		$208.93	$257.04	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.81 / $87.10	Professional	26	$30.90	$39.81	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $218.78 / $263.03	Professional	TC	$177.83	$218.78	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $245.47	Professional		$162.18	$194.98	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.20 / $50.12	Professional	26	$22.39	$30.20	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $275.42 / $380.19	Professional		$47.86	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $346.74	Professional		$194.98	$223.87	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $63.10	Professional	26	$34.67	$39.81	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $186.21 / $288.40	Professional	TC	$158.49	$186.21	$288.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $223.87 / $223.87	Facility	26	$95.50	$223.87	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $758.58	Professional		$204.17	$295.12	$758.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $331.13	Professional	26	$34.67	$43.65	$331.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $234.42 / $1,548.82	Professional	TC	$169.82	$234.42	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $407.38	Professional		$204.17	$257.04	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $41.69 / $64.57	Professional	26	$34.67	$41.69	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $223.87 / $346.74	Professional	TC	$169.82	$223.87	$346.74