Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.16 / $82.26 / $120.41	Facility	26	$41.16	$82.26	$120.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $97.01 / $203.97	Professional		$81.64	$97.01	$203.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $45.64 / $66.15	Professional	26	$41.13	$45.64	$66.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.54 / $44.69 / $72.13	Professional	52	$35.54	$44.69	$72.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.47 / $51.38 / $131.86	Professional	TC	$40.47	$51.38	$131.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.57 / $50.48 / $54.51	Professional	26	$37.57	$50.48	$54.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.63 / $57.21 / $57.21	Professional	TC	$48.63	$57.21	$57.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $94.15 / $129.28	Professional		$44.70	$94.15	$129.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $169.44 / $302.11	Professional		$99.94	$169.44	$302.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.84 / $69.34 / $116.72	Professional	26	$46.84	$69.34	$116.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.10 / $100.10 / $175.43	Professional	TC	$53.10	$100.10	$175.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.90 / $333.99 / $333.99	Facility	26	$102.90	$333.99	$333.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $172.65 / $3,000.00	Professional		$95.90	$172.65	$3,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $77.90 / $870.13	Professional	26	$39.27	$77.90	$870.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.97 / $118.71 / $870.13	Professional	TC	$61.97	$118.71	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $150.55 / $263.52	Professional		$101.24	$150.55	$263.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $57.74 / $98.40	Professional	26	$36.95	$57.74	$98.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.97 / $98.16 / $165.12	Professional	TC	$61.97	$98.16	$165.12