Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.77 / $24.77 / $24.77	Facility	26	$24.77	$24.77	$24.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $93.46 / $135.91	Professional		$93.46	$93.46	$135.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $24.77 / $100.30	Professional	26	$15.70	$24.77	$100.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.30 / $69.01 / $101.14	Professional	TC	$49.30	$69.01	$101.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $15.98 / $15.98	Professional	26	$15.98	$15.98	$15.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $130.55 / $179.26	Professional		$42.02	$130.55	$179.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $63.63 / $203.60	Professional		$40.88	$63.63	$203.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $17.42 / $54.24	Professional	26	$12.35	$17.42	$54.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.53 / $46.20 / $147.84	Professional	TC	$28.53	$46.20	$147.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $148.36 / $148.36	Facility	26	$78.48	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $84.23 / $279.20	Professional		$61.85	$84.23	$279.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $21.65 / $76.47	Professional	26	$17.28	$21.65	$76.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.57 / $62.58 / $202.74	Professional	TC	$44.57	$62.58	$202.74
United Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $84.23 / $168.47	Professional		$61.85	$84.23	$168.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $21.65 / $47.31	Professional	26	$17.28	$21.65	$47.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.57 / $62.58 / $125.16	Professional	TC	$44.57	$62.58	$125.16