Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.43 / $24.43 / $24.43	Facility	26	$24.43	$24.43	$24.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $72.56 / $96.80	Professional		$68.06	$72.56	$96.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $20.30 / $25.00	Professional	26	$17.82	$20.30	$25.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $52.26 / $71.80	Professional	TC	$50.22	$52.26	$71.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $21.99 / $22.37	Professional	26	$19.12	$21.99	$22.37
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $49.68 / $49.68 / $49.68	Professional	TC	$49.68	$49.68	$49.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $164.97 / $164.97	Professional		$164.97	$164.97	$164.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $39.24 / $39.24 / $39.24	Facility	26	$39.24	$39.24	$39.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $153.88 / $468.55	Professional		$75.48	$153.88	$468.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $25.45 / $126.27	Professional	26	$20.66	$25.45	$126.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.46 / $117.06 / $342.28	Professional	TC	$54.46	$117.06	$342.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $124.15 / $169.64	Professional		$75.13	$124.15	$169.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $24.38 / $41.99	Professional	26	$20.66	$24.38	$41.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.31 / $85.43 / $143.08	Professional	TC	$53.31	$85.43	$143.08