Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.64 / $18.64 / $22.79	Facility	26	$18.64	$18.64	$22.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $115.22 / $190.40	Professional		$111.98	$115.22	$190.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $22.79 / $29.38	Professional	26	$20.63	$22.79	$29.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.20 / $92.27 / $169.58	Professional	TC	$89.20	$92.27	$169.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $107.65 / $107.65	Professional		$107.65	$107.65	$107.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $119.35 / $163.88	Professional		$23.80	$119.35	$163.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.11 / $25.11 / $30.40	Facility	26	$25.11	$25.11	$30.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $165.74 / $239.75	Professional		$124.87	$165.74	$239.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $28.53 / $38.97	Professional	26	$21.91	$28.53	$38.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.90 / $138.09 / $210.39	Professional	TC	$99.90	$138.09	$210.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $174.32 / $174.32	Facility	26	$53.90	$174.32	$174.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $169.06 / $1,035.17	Professional		$118.16	$169.06	$1,035.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $27.28 / $303.79	Professional	26	$20.79	$27.28	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.69 / $158.82 / $922.24	Professional	TC	$91.69	$158.82	$922.24
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $151.08 / $248.63	Professional		$111.66	$151.08	$248.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.70 / $25.98 / $46.58	Professional	26	$20.70	$25.98	$46.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.28 / $121.20 / $208.23	Professional	TC	$90.28	$121.20	$208.23