Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.91 / $62.31 / $64.62	Facility	26	$51.91	$62.31	$64.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $85.84 / $126.36	Professional		$59.05	$85.84	$126.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.35 / $44.70 / $64.41	Professional	26	$32.35	$44.70	$64.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $42.58 / $61.95	Professional	TC	$23.57	$42.58	$61.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $59.46 / $83.12	Professional		$50.54	$59.46	$83.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $37.94 / $37.94	Professional	26	$30.68	$37.94	$37.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $99.77 / $99.77	Professional		$79.81	$99.77	$99.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $97.94 / $200.05	Professional		$70.84	$97.94	$200.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.66 / $57.08 / $92.37	Professional	26	$44.66	$57.08	$92.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $39.00 / $70.94	Professional	TC	$21.27	$39.00	$70.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $83.68 / $176.34	Facility	26	$83.68	$83.68	$176.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $86.94 / $568.04	Professional		$67.48	$86.94	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $55.83 / $234.92	Professional	26	$40.54	$55.83	$234.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $33.36 / $244.63	Professional	TC	$25.98	$33.36	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $82.33 / $122.78	Professional		$67.48	$82.33	$122.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $51.43 / $81.38	Professional	26	$39.65	$51.43	$81.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.67 / $31.76 / $56.77	Professional	TC	$24.67	$31.76	$56.77