Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.93 / $54.43 / $519.34	Facility	26	$10.93	$54.43	$519.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $97.92 / $218.00	Professional		$84.00	$97.92	$218.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.20 / $50.49 / $102.43	Professional	26	$42.20	$50.49	$102.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $50.97 / $115.58	Professional	TC	$40.17	$50.97	$115.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $98.20 / $144.13	Professional		$78.41	$98.20	$144.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.43 / $47.43 / $61.86	Professional	26	$47.43	$47.43	$61.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $140.68 / $140.68	Professional		$140.68	$140.68	$140.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $142.00 / $309.60	Professional		$89.60	$142.00	$309.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $66.00 / $143.94	Professional	26	$44.25	$66.00	$143.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.84 / $76.00 / $165.66	Professional	TC	$44.84	$76.00	$165.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.27 / $103.27 / $103.27	Facility	26	$103.27	$103.27	$103.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $127.34 / $641.76	Professional		$101.62	$127.34	$641.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.64 / $65.95 / $283.72	Professional	26	$49.64	$65.95	$283.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $62.29 / $358.05	Professional	TC	$48.72	$62.29	$358.05
United Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $120.59 / $230.68	Professional		$99.25	$120.59	$230.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.72 / $60.20 / $109.68	Professional	26	$47.72	$60.20	$109.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.50 / $60.44 / $117.18	Professional	TC	$47.50	$60.44	$117.18