Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $41.69 / $60.26	Facility	26	$33.88	$41.69	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $144.54	Professional		$64.57	$79.43	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $114.82	Professional	26	$34.67	$44.67	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $67.61	Professional	TC	$22.91	$35.48	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $87.10	Professional		$69.18	$70.79	$87.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $46.77	Professional	26	$39.81	$39.81	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $112.20	Professional		$41.69	$74.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $128.82	Professional		$69.18	$93.33	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $79.43	Professional	26	$43.65	$57.54	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $60.26	Professional	TC	$22.91	$33.11	$60.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $190.55	Facility	26	$95.50	$95.50	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $616.60	Professional		$60.26	$83.18	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $263.03	Professional	26	$36.31	$47.86	$263.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $263.03	Professional	TC	$19.95	$30.90	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $112.20	Professional		$58.88	$75.86	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $45.71 / $70.79	Professional	26	$35.48	$45.71	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $44.67	Professional	TC	$18.62	$29.51	$44.67