Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $60.26 / $89.13	Facility	26	$50.12	$60.26	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $257.04	Professional		$87.10	$107.15	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $245.47	Professional	26	$50.12	$64.57	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $40.74 / $79.43	Professional	TC	$30.20	$40.74	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $125.89	Professional		$91.20	$97.72	$125.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $56.23 / $70.79	Professional	26	$48.98	$56.23	$70.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	TC	$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $138.04	Professional		$61.66	$100.00	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $169.82	Professional		$97.72	$128.82	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $117.49	Professional	26	$63.10	$85.11	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $42.66 / $70.79	Professional	TC	$28.84	$42.66	$70.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $281.84	Facility	26	$141.25	$141.25	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $870.96	Professional		$85.11	$112.20	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $380.19	Professional	26	$53.70	$70.79	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $309.03	Professional	TC	$25.70	$37.15	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $162.18	Professional		$81.28	$102.33	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $66.07 / $104.71	Professional	26	$52.48	$66.07	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $35.48 / $51.29	Professional	TC	$24.55	$35.48	$51.29