Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.82 / $35.82 / $77.44	Facility	26	$35.82	$35.82	$77.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $102.66 / $233.66	Professional		$64.31	$102.66	$233.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $34.82 / $77.44	Professional	26	$31.26	$34.82	$77.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $69.03 / $156.21	Professional	TC	$33.03	$69.03	$156.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $105.99 / $105.99	Professional		$105.99	$105.99	$105.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.52 / $32.52 / $35.90	Professional	26	$32.52	$32.52	$35.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $119.69 / $119.69	Professional		$119.69	$119.69	$119.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $142.34 / $333.64	Professional		$75.02	$142.34	$333.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $52.19 / $109.28	Professional	26	$32.90	$52.19	$109.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.77 / $91.28 / $224.36	Professional	TC	$42.77	$91.28	$224.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.13 / $78.13 / $78.13	Facility	26	$78.13	$78.13	$78.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $116.33 / $687.40	Professional		$64.25	$116.33	$687.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $46.69 / $224.56	Professional	26	$36.79	$46.69	$224.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $72.26 / $472.45	Professional	TC	$22.20	$72.26	$472.45
United Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $105.60 / $173.48	Professional		$61.57	$105.60	$173.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.96 / $44.68 / $74.25	Professional	26	$35.96	$44.68	$74.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $60.27 / $137.19	Professional	TC	$18.32	$60.27	$137.19