Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.67 / $52.67 / $52.67	Facility	26	$52.67	$52.67	$52.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $64.34 / $254.00	Professional		$57.47	$64.34	$254.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.91 / $29.25 / $47.05	Professional	26	$24.91	$29.25	$47.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.03 / $34.52 / $62.65	Professional	TC	$31.03	$34.52	$62.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $30.81 / $30.81	Professional	26	$30.81	$30.81	$30.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $57.84 / $65.79	Professional		$47.72	$57.84	$65.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $24.71 / $28.73	Professional	26	$20.39	$24.71	$28.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.33 / $33.13 / $37.68	Professional	TC	$27.33	$33.13	$37.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $69.86 / $128.66	Professional		$55.33	$69.86	$128.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.84 / $32.45 / $58.64	Professional	26	$25.84	$32.45	$58.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.49 / $37.22 / $66.56	Professional	TC	$29.49	$37.22	$66.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $122.62 / $122.62	Facility	26	$64.69	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $67.08 / $717.26	Professional		$52.70	$67.08	$717.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $31.53 / $330.63	Professional	26	$24.89	$31.53	$330.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $35.26 / $563.89	Professional	TC	$27.52	$35.26	$563.89
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $61.20 / $112.33	Professional		$51.77	$61.20	$112.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.49 / $29.52 / $52.59	Professional	26	$24.49	$29.52	$52.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.66 / $32.59 / $59.96	Professional	TC	$26.66	$32.59	$59.96