Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.74 / $77.91 / $169.61	Facility	26	$48.74	$77.91	$169.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $199.53 / $498.20	Professional		$116.02	$199.53	$498.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $48.74 / $117.00	Professional	26	$36.46	$48.74	$117.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.48 / $147.35 / $275.33	Professional	TC	$76.48	$147.35	$275.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $94.75 / $108.48	Professional		$74.48	$94.75	$108.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.70 / $53.73 / $71.19	Professional	26	$30.70	$53.73	$71.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $121.72 / $152.15	Professional		$106.51	$121.72	$152.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.08 / $40.08 / $50.10	Professional	26	$39.08	$40.08	$50.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.44 / $81.64 / $102.05	Professional	TC	$71.44	$81.64	$102.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.92 / $45.92 / $45.92	Facility	26	$45.92	$45.92	$45.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $201.18 / $318.95	Professional		$92.39	$201.18	$318.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.66 / $49.89 / $85.71	Professional	26	$29.66	$49.89	$85.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.49 / $137.35 / $228.91	Professional	TC	$57.49	$137.35	$228.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $376.16 / $376.16 / $376.16	Facility	26	$376.16	$376.16	$376.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $191.18 / $1,267.82	Professional		$99.70	$191.18	$1,267.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $43.67 / $315.37	Professional	26	$34.79	$43.67	$315.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $148.68 / $1,108.00	Professional	TC	$62.58	$148.68	$1,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $156.81 / $252.17	Professional		$99.70	$156.81	$252.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $37.21 / $79.30	Professional	26	$34.79	$37.21	$79.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $108.12 / $172.20	Professional	TC	$62.58	$108.12	$172.20