Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.43 / $16.43 / $16.43	Facility	26	$16.43	$16.43	$16.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $68.06 / $79.77	Professional		$47.83	$68.06	$79.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $18.95 / $20.47	Professional	26	$13.22	$18.95	$20.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $50.22 / $59.30	Professional	TC	$34.61	$50.22	$59.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $66.72 / $99.45	Professional		$66.72	$66.72	$99.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $25.60 / $28.94	Professional	26	$19.19	$25.60	$28.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $69.65 / $95.64	Professional		$23.34	$69.65	$95.64
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 / $104.06 / $104.06	Facility	26	$39.24	$104.06	$104.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $91.81 / $468.55	Professional		$65.03	$91.81	$468.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $23.02 / $126.27	Professional	26	$17.37	$23.02	$126.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.13 / $66.69 / $342.28	Professional	TC	$46.13	$66.69	$342.28
United Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $87.99 / $160.58	Professional		$61.21	$87.99	$160.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $22.30 / $31.80	Professional	26	$17.37	$22.30	$31.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.46 / $63.92 / $137.37	Professional	TC	$44.46	$63.92	$137.37