Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.67 / $30.25 / $52.18	Facility	26	$20.67	$30.25	$52.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $123.07 / $272.43	Professional		$114.47	$123.07	$272.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $22.74 / $52.18	Professional	26	$16.12	$22.74	$52.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.00 / $106.95 / $220.26	Professional	TC	$93.00	$106.95	$220.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $86.46 / $86.46	Professional		$86.46	$86.46	$86.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $17.05 / $24.12	Professional	26	$16.78	$17.05	$24.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.99 / $201.99 / $201.99	Professional		$201.99	$201.99	$201.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $188.85 / $272.02	Professional		$117.64	$188.85	$272.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $29.73 / $42.13	Professional	26	$19.84	$29.73	$42.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.73 / $157.41 / $256.92	Professional	TC	$95.73	$157.41	$256.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $53.56 / $102.96	Facility	26	$53.56	$53.56	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $201.31 / $1,021.59	Professional		$131.37	$201.31	$1,021.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $31.27 / $203.09	Professional	26	$18.79	$31.27	$203.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.11 / $175.30 / $934.78	Professional	TC	$106.11	$175.30	$934.78
United Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $185.41 / $256.18	Professional		$131.37	$185.41	$256.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $27.26 / $45.50	Professional	26	$18.57	$27.26	$45.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.11 / $153.94 / $226.85	Professional	TC	$106.11	$153.94	$226.85