Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $72.44 / $72.44	Facility	26	$58.88	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $151.36	Professional		$72.44	$89.13	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.98 / $77.62	Professional	26	$38.90	$48.98	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $43.65 / $75.86	Professional	TC	$28.84	$43.65	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $44.67	Professional	26	$34.67	$43.65	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $234.42	Professional		$74.13	$109.65	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $61.66 / $134.90	Professional	26	$47.86	$61.66	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $44.67 / $138.04	Professional	TC	$24.55	$44.67	$138.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $204.17	Facility	26	$95.50	$95.50	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $676.08	Professional		$77.62	$104.71	$676.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $269.15	Professional	26	$43.65	$63.10	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $39.81 / $288.40	Professional	TC	$30.90	$39.81	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $134.90	Professional		$75.86	$95.50	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $83.18	Professional	26	$43.65	$58.88	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $61.66	Professional	TC	$28.84	$38.02	$61.66