Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.48 / $55.56 / $93.45	Facility	26	$31.48	$55.56	$93.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $123.35 / $179.46	Professional		$121.70	$123.35	$179.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $31.48 / $102.85	Professional	26	$25.72	$31.48	$102.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.01 / $90.65 / $135.53	Professional	TC	$71.01	$90.65	$135.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Professional		$76.73	$76.73	$76.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $19.41 / $20.23	Professional	26	$19.41	$19.41	$20.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $168.00 / $230.69	Professional		$52.96	$168.00	$230.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $83.33 / $293.89	Professional		$70.70	$83.33	$293.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $27.81 / $90.39	Professional	26	$19.41	$27.81	$90.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.74 / $61.23 / $195.92	Professional	TC	$46.74	$61.23	$195.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $239.31 / $239.31	Facility	26	$99.23	$239.31	$239.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $110.44 / $1,140.80	Professional		$87.32	$110.44	$1,140.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $33.88 / $326.98	Professional	26	$27.46	$33.88	$326.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.44 / $82.94 / $871.18	Professional	TC	$53.44	$82.94	$871.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $110.44 / $220.87	Professional		$87.32	$110.44	$220.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $33.88 / $59.72	Professional	26	$27.46	$33.88	$59.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.44 / $82.94 / $165.87	Professional	TC	$53.44	$82.94	$165.87