Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.93 / $55.82 / $86.60	Facility	26	$38.93	$55.82	$86.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $183.87 / $317.11	Professional		$139.35	$183.87	$317.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.42 / $50.22 / $86.90	Professional	26	$37.42	$50.22	$86.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.33 / $133.65 / $231.98	Professional	TC	$97.33	$133.65	$231.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $27.93 / $40.00	Professional	26	$27.83	$27.93	$40.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $124.88 / $124.88 / $124.88	Professional	TC	$124.88	$124.88	$124.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.83 / $233.83 / $233.83	Professional		$233.83	$233.83	$233.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $244.19 / $349.25	Professional		$151.79	$244.19	$349.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.26 / $64.70 / $109.04	Professional	26	$37.26	$64.70	$109.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.38 / $185.48 / $273.70	Professional	TC	$115.38	$185.48	$273.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $88.37 / $88.37 / $251.76	Facility	26	$88.37	$88.37	$251.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $266.97 / $1,354.08	Professional		$167.46	$266.97	$1,354.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.93 / $72.78 / $335.64	Professional	26	$41.93	$72.78	$335.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $126.68 / $197.05 / $1,018.44	Professional	TC	$126.68	$197.05	$1,018.44
United Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $239.36 / $339.59	Professional		$167.46	$239.36	$339.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $60.77 / $99.35	Professional	26	$40.78	$60.77	$99.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.68 / $180.32 / $247.75	Professional	TC	$126.68	$180.32	$247.75