Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.26 / $40.43 / $63.09	Facility	26	$31.26	$40.43	$63.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $72.87 / $136.65	Professional		$57.34	$72.87	$136.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $31.26 / $63.09	Professional	26	$26.39	$31.26	$63.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.03 / $36.33 / $73.55	Professional	TC	$31.03	$36.33	$73.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $23.57 / $29.13	Professional	26	$23.05	$23.57	$29.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $105.12 / $105.12	Professional		$105.12	$105.12	$105.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $79.98 / $149.00	Professional		$58.74	$79.98	$149.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.48 / $37.54 / $75.00	Professional	26	$27.48	$37.54	$75.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.23 / $42.91 / $69.00	Professional	TC	$30.23	$42.91	$69.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $64.69 / $122.62	Facility	26	$64.69	$64.69	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $79.30 / $717.26	Professional		$61.02	$79.30	$717.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $38.88 / $330.63	Professional	26	$29.95	$38.88	$330.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $40.19 / $563.89	Professional	TC	$31.04	$40.19	$563.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $73.52 / $113.24	Professional		$60.27	$73.52	$113.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $36.70 / $50.41	Professional	26	$29.23	$36.70	$50.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.97 / $37.21 / $57.83	Professional	TC	$30.97	$37.21	$57.83