Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $24.77 / $37.17	Facility	26	$20.47	$24.77	$37.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $90.81 / $144.34	Professional		$77.04	$90.81	$144.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $26.17 / $155.55	Professional	26	$20.46	$26.17	$155.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.57 / $67.48 / $105.95	Professional	TC	$56.57	$67.48	$105.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.43 / $27.43 / $27.43	Professional	26	$27.43	$27.43	$27.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $93.10 / $127.84	Professional		$25.37	$93.10	$127.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.79 / $35.79 / $40.27	Facility	26	$35.79	$35.79	$40.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $127.97 / $159.07	Professional		$99.67	$127.97	$159.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.51 / $34.95 / $42.54	Professional	26	$26.51	$34.95	$42.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.16 / $94.06 / $119.17	Professional	TC	$73.16	$94.06	$119.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.98 / $136.00 / $136.00	Facility	26	$57.98	$136.00	$136.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $129.37 / $698.76	Professional		$90.62	$129.37	$698.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $32.40 / $279.51	Professional	26	$22.92	$32.40	$279.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.68 / $100.32 / $479.00	Professional	TC	$64.68	$100.32	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $119.37 / $205.20	Professional		$87.60	$119.37	$205.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.87 / $29.08 / $46.11	Professional	26	$21.87	$29.08	$46.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.19 / $86.64 / $125.40	Professional	TC	$63.19	$86.64	$125.40