Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $87.10 / $95.50	Facility	26	$69.18	$87.10	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $354.81	Professional		$169.82	$223.87	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $147.91	Professional	26	$53.70	$74.13	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $147.91 / $269.15	Professional	TC	$112.20	$147.91	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $79.43 / $100.00	Professional	26	$44.67	$79.43	$100.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	TC	$83.18	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $173.78 / $239.88	Professional		$60.26	$173.78	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $93.33	Facility	26	$58.88	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $407.38	Professional		$151.36	$263.03	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $123.03	Professional	26	$50.12	$61.66	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $190.55 / $295.12	Professional	TC	$100.00	$190.55	$295.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Facility	26	$436.52	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $1,905.46	Professional		$169.82	$245.47	$1,905.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $436.52	Professional	26	$52.48	$69.18	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $194.98 / $1,584.89	Professional	TC	$112.20	$194.98	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $407.38	Professional		$165.96	$208.93	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $97.72	Professional	26	$51.29	$64.57	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $134.90 / $323.59	Professional	TC	$109.65	$134.90	$323.59