Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.05 / $57.50 / $96.60	Facility	26	$41.05	$57.50	$96.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $164.35 / $207.37	Professional		$123.35	$164.35	$207.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.48 / $41.05 / $63.04	Professional	26	$31.48	$41.05	$63.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.87 / $115.91 / $145.34	Professional	TC	$91.87	$115.91	$145.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $80.80 / $80.80	Professional		$80.80	$80.80	$80.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.45 / $44.74 / $44.74	Professional	26	$19.45	$44.74	$44.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.17 / $237.17 / $237.17	Professional		$237.17	$237.17	$237.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $180.26 / $304.00	Professional		$85.49	$180.26	$304.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.21 / $57.18 / $122.00	Professional	26	$22.21	$57.18	$122.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.81 / $135.58 / $182.00	Professional	TC	$61.81	$135.58	$182.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $99.23 / $99.23	Facility	26	$99.23	$99.23	$99.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $177.85 / $1,140.80	Professional		$110.44	$177.85	$1,140.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $56.88 / $326.98	Professional	26	$27.50	$56.88	$326.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.73 / $132.58 / $871.18	Professional	TC	$78.73	$132.58	$871.18
United Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $174.47 / $247.35	Professional		$110.44	$174.47	$247.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $45.83 / $66.80	Professional	26	$27.50	$45.83	$66.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.66 / $107.10 / $176.33	Professional	TC	$69.66	$107.10	$176.33