Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $42.66 / $48.98	Facility	26	$31.62	$42.66	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $275.42	Professional		$91.20	$134.90	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $77.62	Professional	26	$22.91	$32.36	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $131.83	Professional	TC	$67.61	$87.10	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $186.21	Professional		$72.44	$79.43	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.30 / $39.81	Professional	26	$18.62	$26.30	$39.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	TC	$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $223.87	Professional		$89.13	$134.90	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $35.48 / $63.10	Professional	26	$24.55	$35.48	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $109.65 / $177.83	Professional	TC	$74.13	$109.65	$177.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $134.90	Facility	26	$57.54	$57.54	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $691.83	Professional		$97.72	$147.91	$691.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $38.02 / $281.84	Professional	26	$26.30	$38.02	$281.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $478.63	Professional	TC	$72.44	$109.65	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $173.78	Professional		$97.72	$125.89	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $32.36 / $46.77	Professional	26	$26.30	$32.36	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $95.50 / $134.90	Professional	TC	$70.79	$95.50	$134.90