Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $55.69 / $57.92	Facility	26	$35.81	$55.69	$57.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $134.29 / $232.99	Professional		$129.99	$134.29	$232.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $36.56 / $63.40	Professional	26	$35.00	$36.56	$63.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.18 / $99.37 / $169.58	Professional	TC	$94.18	$99.37	$169.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $114.02 / $157.03	Professional		$106.31	$114.02	$157.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $35.81 / $47.25	Professional	26	$28.82	$35.81	$47.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $151.55 / $208.10	Professional		$38.61	$151.55	$208.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.73 / $75.73 / $89.29	Facility	26	$75.73	$75.73	$89.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $217.61 / $298.10	Professional		$161.19	$217.61	$298.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.60 / $61.06 / $87.27	Professional	26	$40.60	$61.06	$87.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.60 / $157.11 / $210.84	Professional	TC	$120.60	$157.11	$210.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $88.37 / $251.76 / $251.76	Facility	26	$88.37	$251.76	$251.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $220.09 / $1,354.08	Professional		$150.71	$220.09	$1,354.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.47 / $63.05 / $335.64	Professional	26	$35.47	$63.05	$335.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $110.21 / $186.62 / $1,018.44	Professional	TC	$110.21	$186.62	$1,018.44
United Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $192.58 / $337.10	Professional		$145.69	$192.58	$337.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.42 / $50.89 / $81.09	Professional	26	$35.42	$50.89	$81.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.57 / $136.66 / $238.42	Professional	TC	$108.57	$136.66	$238.42