Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.43 / $56.79 / $73.39	Facility	26	$52.43	$56.79	$73.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $93.62 / $138.30	Professional		$64.75	$93.62	$138.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.26 / $43.69 / $65.59	Professional	26	$33.26	$43.69	$65.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $49.93 / $72.70	Professional	TC	$23.57	$49.93	$72.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $80.48 / $90.97	Professional		$65.08	$80.48	$90.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $38.81 / $38.81	Professional	26	$31.39	$38.81	$38.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $109.25 / $109.25	Professional		$87.40	$109.25	$109.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $101.57 / $155.99	Professional		$66.17	$101.57	$155.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.41 / $56.76 / $91.59	Professional	26	$42.41	$56.76	$91.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $43.47 / $83.20	Professional	TC	$22.96	$43.47	$83.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $174.72	Facility	26	$85.71	$85.71	$174.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $89.29 / $568.04	Professional		$72.59	$89.29	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.24 / $53.99 / $236.22	Professional	26	$40.24	$53.99	$236.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $36.54 / $285.88	Professional	TC	$26.16	$36.54	$285.88
United Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $89.29 / $119.69	Professional		$71.06	$89.29	$119.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $51.00 / $76.11	Professional	26	$40.04	$51.00	$76.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.67 / $35.34 / $67.97	Professional	TC	$24.67	$35.34	$67.97