Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $58.88 / $58.88	Facility	26	$33.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $213.80	Professional		$89.13	$114.82	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $70.79	Professional	26	$22.91	$30.90	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $85.11 / $144.54	Professional	TC	$63.10	$85.11	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $89.13	Professional		$54.95	$57.54	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.13 / $23.44	Professional	26	$14.13	$14.13	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $263.03	Professional		$63.10	$134.90	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $34.67 / $66.07	Professional	26	$16.98	$34.67	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $97.72 / $190.55	Professional	TC	$43.65	$97.72	$190.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $870.96	Professional		$81.28	$112.20	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.20 / $213.80	Professional	26	$21.88	$30.20	$213.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $81.28 / $660.69	Professional	TC	$63.10	$81.28	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $190.55	Professional		$85.11	$114.82	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.11 / $50.12	Professional	26	$21.88	$33.11	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $83.18 / $138.04	Professional	TC	$63.10	$83.18	$138.04