Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.11 / $61.60 / $82.75	Facility	26	$59.11	$61.60	$82.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $95.32 / $140.52	Professional		$65.54	$95.32	$140.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $49.26 / $73.47	Professional	26	$36.86	$49.26	$73.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $46.06 / $67.04	Professional	TC	$24.33	$46.06	$67.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $88.73 / $88.73	Professional		$88.73	$88.73	$88.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $43.34 / $43.34	Professional	26	$35.04	$43.34	$43.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $110.81 / $110.81	Professional		$88.65	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $105.56 / $221.89	Professional		$70.59	$105.56	$221.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.69 / $62.42 / $100.19	Professional	26	$46.69	$62.42	$100.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $42.00 / $76.75	Professional	TC	$22.06	$42.00	$76.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $190.77	Facility	26	$95.51	$95.51	$190.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $93.86 / $622.15	Professional		$75.06	$93.86	$622.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.66 / $58.94 / $262.07	Professional	26	$44.66	$58.94	$262.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.18 / $35.15 / $264.17	Professional	TC	$27.18	$35.15	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $91.60 / $136.83	Professional		$71.31	$91.60	$136.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.44 / $56.48 / $84.46	Professional	26	$44.44	$56.48	$84.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $34.26 / $61.41	Professional	TC	$25.88	$34.26	$61.41