Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.52 / $58.34 / $76.03	Facility	26	$34.52	$58.34	$76.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $115.22 / $135.91	Professional		$86.29	$115.22	$135.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $28.77 / $34.77	Professional	26	$23.42	$28.77	$34.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $86.44 / $101.14	Professional	TC	$62.86	$86.44	$101.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $59.94 / $59.94	Professional		$59.94	$59.94	$59.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $15.37 / $15.37	Professional	26	$15.37	$15.37	$15.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $149.66 / $149.66	Professional		$149.66	$149.66	$149.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $139.01 / $260.14	Professional		$62.49	$139.01	$260.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $34.40 / $66.12	Professional	26	$16.96	$34.40	$66.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.85 / $104.61 / $190.93	Professional	TC	$43.85	$104.61	$190.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $78.48 / $78.48	Facility	26	$78.48	$78.48	$78.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $133.10 / $875.57	Professional		$84.23	$133.10	$875.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $35.65 / $212.17	Professional	26	$21.65	$35.65	$212.17
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $99.00 / $663.40	Professional	TC	$62.58	$99.00	$663.40
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $135.68 / $185.30	Professional		$84.23	$135.68	$185.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $32.86 / $47.41	Professional	26	$21.65	$32.86	$47.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $100.03 / $135.35	Professional	TC	$62.58	$100.03	$135.35