Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.77 / $41.77 / $42.76	Facility	26	$41.77	$41.77	$42.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $116.06 / $148.08	Professional		$109.56	$116.06	$148.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $42.64 / $47.75	Professional	26	$40.10	$42.64	$47.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $75.55 / $105.15	Professional	TC	$69.45	$75.55	$105.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $99.36 / $114.89	Professional		$89.07	$99.36	$114.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $100.43 / $167.25	Professional		$44.10	$100.43	$167.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $162.07 / $261.25	Professional		$119.02	$162.07	$261.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.84 / $61.50 / $74.23	Professional	26	$39.84	$61.50	$74.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.64 / $100.57 / $180.12	Professional	TC	$73.64	$100.57	$180.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.69 / $198.29 / $198.29	Facility	26	$102.69	$198.29	$198.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $149.81 / $944.58	Professional		$111.66	$149.81	$944.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $53.36 / $386.24	Professional	26	$40.19	$53.36	$386.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $71.47 / $92.00 / $782.04	Professional	TC	$71.47	$92.00	$782.04
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $132.94 / $236.21	Professional		$111.66	$132.94	$236.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $49.88 / $84.76	Professional	26	$39.25	$49.88	$84.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.47 / $84.64 / $156.44	Professional	TC	$71.47	$84.64	$156.44