Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.33 / $39.28 / $60.78	Facility	26	$34.33	$39.28	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $66.31 / $143.91	Professional		$65.54	$66.31	$143.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $34.72 / $179.00	Professional	26	$33.22	$34.72	$179.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.19 / $31.59 / $68.63	Professional	TC	$27.19	$31.59	$68.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $70.62	Professional		$70.62	$70.62	$70.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $35.15 / $45.35	Professional	26	$35.15	$35.15	$45.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $74.90 / $105.32	Professional		$43.11	$74.90	$105.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $92.53 / $128.41	Professional		$65.18	$92.53	$128.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $56.98 / $79.16	Professional	26	$39.90	$56.98	$79.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $35.74 / $55.00	Professional	TC	$21.98	$35.74	$55.00
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 $60.06 / $78.78 / $170.70	Professional		$60.06	$78.78	$170.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $46.23 / $262.07	Professional	26	$36.54	$46.23	$262.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $30.15 / $264.17	Professional	TC	$19.32	$30.15	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $75.06 / $122.36	Professional		$59.96	$75.06	$122.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.53 / $45.35 / $70.45	Professional	26	$35.53	$45.35	$70.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $28.77 / $44.36	Professional	TC	$19.28	$28.77	$44.36