Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.39 / $49.39 / $73.43	Facility	26	$49.39	$49.39	$73.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $148.08 / $274.30	Professional		$109.56	$148.08	$274.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $48.62 / $101.26	Professional	26	$40.10	$48.62	$101.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $94.80 / $173.04	Professional	TC	$69.45	$94.80	$173.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $83.47	Professional		$83.47	$83.47	$83.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.75 / $46.75 / $46.75	Professional	26	$46.75	$46.75	$46.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $201.41 / $201.41	Professional		$201.41	$201.41	$201.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.38 / $207.55 / $418.94	Professional		$121.38	$207.55	$418.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.36 / $68.04 / $142.06	Professional	26	$44.36	$68.04	$142.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.86 / $137.88 / $320.60	Professional	TC	$76.86	$137.88	$320.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.69 / $102.69 / $102.69	Facility	26	$102.69	$102.69	$102.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $171.94 / $944.58	Professional		$127.43	$171.94	$944.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.70 / $61.66 / $386.24	Professional	26	$48.70	$61.66	$386.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.09 / $108.88 / $782.04	Professional	TC	$76.09	$108.88	$782.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $159.19 / $299.50	Professional		$125.61	$159.19	$299.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.51 / $59.87 / $112.69	Professional	26	$49.51	$59.87	$112.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.87 / $106.46 / $197.54	Professional	TC	$75.87	$106.46	$197.54