Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.32 / $41.77 / $41.77	Facility	26	$41.32	$41.77	$41.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $82.34 / $94.37	Professional		$70.98	$82.34	$94.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $41.99 / $47.45	Professional	26	$39.40	$41.99	$47.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $39.90 / $46.15	Professional	TC	$34.82	$39.90	$46.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $77.72	Professional		$66.06	$66.06	$77.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $82.73 / $115.34	Professional		$44.10	$82.73	$115.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $106.47 / $135.74	Professional		$75.09	$106.47	$135.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $60.52 / $73.76	Professional	26	$39.54	$60.52	$73.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.40 / $47.38 / $65.23	Professional	TC	$30.40	$47.38	$65.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.35 / $196.79 / $196.79	Facility	26	$102.35	$196.79	$196.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $92.09 / $567.30	Professional		$72.79	$92.09	$567.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $51.72 / $318.67	Professional	26	$39.58	$51.72	$318.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $41.14 / $318.67	Professional	TC	$30.66	$41.14	$318.67
United Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $87.70 / $157.22	Professional		$70.16	$87.70	$157.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.58 / $48.89 / $83.47	Professional	26	$39.58	$48.89	$83.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.15 / $38.86 / $73.76	Professional	TC	$30.15	$38.86	$73.76