Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.47 / $37.90 / $49.20	Facility	26	$30.47	$37.90	$49.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $124.99 / $168.32	Professional		$114.83	$124.99	$168.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $30.26 / $49.20	Professional	26	$23.43	$30.26	$49.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.48 / $88.40 / $124.47	Professional	TC	$74.48	$88.40	$124.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $112.72	Professional		$69.37	$69.37	$112.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $26.19 / $42.12	Professional	26	$18.21	$26.19	$42.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $132.60 / $132.60	Professional		$132.60	$132.60	$132.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $141.58 / $215.18	Professional		$97.55	$141.58	$215.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $37.89 / $63.00	Professional	26	$25.75	$37.89	$63.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.81 / $110.07 / $169.49	Professional	TC	$72.81	$110.07	$169.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.98 / $57.98 / $136.00	Facility	26	$57.98	$57.98	$136.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $148.00 / $698.76	Professional		$100.69	$148.00	$698.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $39.32 / $279.51	Professional	26	$26.35	$39.32	$279.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $109.28 / $479.00	Professional	TC	$74.34	$109.28	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $138.27 / $174.80	Professional		$100.69	$138.27	$174.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $37.29 / $49.63	Professional	26	$26.35	$37.29	$49.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.73 / $101.47 / $133.88	Professional	TC	$72.73	$101.47	$133.88