Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.20 / $55.74 / $86.28	Facility	26	$42.20	$55.74	$86.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $92.37 / $200.01	Professional		$84.00	$92.37	$200.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $43.73 / $50.34	Professional	26	$41.13	$43.73	$50.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $392.92 / $392.92 / $392.92	Professional	50	$392.92	$392.92	$392.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $48.29 / $55.58	Professional	TC	$40.17	$48.29	$55.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $100.38 / $175.47	Professional		$79.29	$100.38	$175.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $48.72 / $73.01	Professional	26	$38.51	$48.72	$73.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $95.55 / $131.19	Professional		$44.45	$95.55	$131.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $111.17 / $137.26	Professional		$81.01	$111.17	$137.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.07 / $61.30 / $77.89	Professional	26	$40.07	$61.30	$77.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.95 / $57.35 / $68.94	Professional	TC	$38.95	$57.35	$68.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.27 / $201.33 / $201.33	Facility	26	$103.27	$201.33	$201.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $110.51 / $641.76	Professional		$84.36	$110.51	$641.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $55.60 / $283.72	Professional	26	$40.19	$55.60	$283.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.87 / $54.28 / $358.05	Professional	TC	$41.87	$54.28	$358.05
United Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $102.26 / $177.93	Professional		$84.36	$102.26	$177.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $49.95 / $84.76	Professional	26	$37.82	$49.95	$84.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.87 / $51.97 / $90.33	Professional	TC	$41.87	$51.97	$90.33