Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.12 / $6.12 / $6.12	Facility	26	$6.12	$6.12	$6.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $6.40 / $61.58	Professional	26	$5.99	$6.40	$61.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $20.53 / $26.86	Professional	TC	$18.36	$20.53	$26.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $35.81 / $55.19	Professional	26	$29.45	$35.81	$55.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.67 / $37.85 / $51.52	Professional	26	$22.67	$37.85	$51.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.45 / $114.34 / $155.61	Professional	TC	$68.45	$114.34	$155.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.24 / $45.73 / $58.70	Professional	26	$14.24	$45.73	$58.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $142.68 / $177.31	Professional	TC	$45.25	$142.68	$177.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $110.49 / $110.49	Facility	26	$57.75	$110.49	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $149.40 / $149.40 / $149.40	Professional	26	$149.40	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $393.12 / $393.12 / $393.12	Professional	TC	$393.12	$393.12	$393.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.46 / $103.46 / $103.46	Professional	26	$103.46	$103.46	$103.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.60 / $170.34 / $364.25	Professional	TC	$139.60	$170.34	$364.25