Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $21.88 / $37.15	Facility	26	$19.50	$21.88	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $239.88	Professional		$112.20	$144.54	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $52.48	Professional	26	$19.95	$23.99	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $112.20 / $177.83	Professional	TC	$89.13	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $199.53	Professional		$95.50	$107.15	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $30.20	Professional	26	$18.20	$25.12	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $120.23 / $162.18	Professional		$23.99	$120.23	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $30.20	Facility	26	$25.12	$25.12	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $239.88	Professional		$123.03	$169.82	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $38.90	Professional	26	$19.50	$26.92	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $147.91 / $208.93	Professional	TC	$97.72	$147.91	$208.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $173.78 / $173.78	Facility	26	$53.70	$173.78	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $1,047.13	Professional		$117.49	$169.82	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $302.00	Professional	26	$20.89	$27.54	$302.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $151.36 / $912.01	Professional	TC	$89.13	$151.36	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $234.42	Professional		$104.71	$138.04	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $39.81	Professional	26	$19.95	$25.12	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $109.65 / $199.53	Professional	TC	$85.11	$109.65	$199.53