Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.12 / $52.94 / $82.37	Facility	26	$46.12	$52.94	$82.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $89.72 / $372.00	Professional		$80.15	$89.72	$372.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.61 / $72.63 / $247.00	Professional	26	$44.61	$72.63	$247.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $34.44 / $74.81	Professional	TC	$29.64	$34.44	$74.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $87.22	Professional		$87.22	$87.22	$87.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.22 / $51.22 / $61.46	Professional	26	$51.22	$51.22	$61.46
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.20 / $43.20 / $43.20	Professional	TC	$43.20	$43.20	$43.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $92.05 / $126.40	Professional		$64.79	$92.05	$126.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $118.57 / $158.59	Professional		$84.07	$118.57	$158.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.20 / $76.83 / $104.93	Professional	26	$53.20	$76.83	$104.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $39.07 / $60.00	Professional	TC	$25.20	$39.07	$60.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $129.41 / $248.27	Facility	26	$129.41	$129.41	$248.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $96.61 / $213.37	Professional		$75.06	$96.61	$213.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.73 / $62.70 / $352.29	Professional	26	$49.73	$62.70	$352.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.27 / $33.92 / $288.04	Professional	TC	$22.27	$33.92	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $93.83 / $152.94	Professional		$75.06	$93.83	$152.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.93 / $60.84 / $104.84	Professional	26	$47.93	$60.84	$104.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $31.54 / $48.47	Professional	TC	$22.25	$31.54	$48.47