Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.95 / $53.92 / $61.41	Facility	26	$38.95	$53.92	$61.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $137.02 / $178.59	Professional		$106.66	$137.02	$178.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.67 / $48.09 / $53.92	Professional	26	$38.67	$48.09	$53.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.95 / $84.29 / $142.12	Professional	TC	$65.95	$84.29	$142.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $108.14 / $108.14	Professional		$77.23	$108.14	$108.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $37.18 / $51.70	Professional	26	$29.98	$37.18	$51.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $76.78 / $76.78 / $112.15	Professional	TC	$76.78	$76.78	$112.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $106.05 / $145.62	Professional		$42.01	$106.05	$145.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $62.78	Facility	26	$39.29	$39.29	$62.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $156.97 / $250.91	Professional		$91.71	$156.97	$250.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.69 / $40.04 / $67.45	Professional	26	$34.69	$40.04	$67.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.10 / $104.36 / $190.06	Professional	TC	$56.10	$104.36	$190.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $292.88 / $376.16 / $376.16	Facility	26	$292.88	$376.16	$376.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $150.49 / $1,267.82	Professional		$104.62	$150.49	$1,267.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $47.16 / $315.37	Professional	26	$34.79	$47.16	$315.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.05 / $119.93 / $1,108.00	Professional	TC	$64.05	$119.93	$1,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $131.01 / $230.47	Professional		$102.04	$131.01	$230.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $43.67 / $65.51	Professional	26	$34.79	$43.67	$65.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.89 / $73.88 / $183.60	Professional	TC	$58.89	$73.88	$183.60