Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $39.81 / $64.57	Facility	26	$33.88	$39.81	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $154.88	Professional		$67.61	$81.28	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $194.98	Professional	26	$34.67	$45.71	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $75.86	Professional	TC	$25.70	$38.02	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $104.71	Professional		$70.79	$70.79	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $117.49	Professional		$41.69	$79.43	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $134.90	Professional		$79.43	$97.72	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $85.11	Professional	26	$43.65	$60.26	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $66.07	Professional	TC	$25.12	$37.15	$66.07
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 $64.57 / $87.10 / $676.08	Professional		$64.57	$87.10	$676.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $269.15	Professional	26	$37.15	$48.98	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $34.67 / $288.40	Professional	TC	$22.39	$34.67	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $123.03	Professional		$63.10	$77.62	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $45.71 / $72.44	Professional	26	$36.31	$45.71	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $48.98	Professional	TC	$20.89	$32.36	$48.98