Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $56.23 / $61.66	Facility	26	$52.48	$56.23	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $323.59	Professional		$128.82	$169.82	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $102.33	Professional	26	$38.02	$54.95	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $114.82 / $218.78	Professional	TC	$87.10	$114.82	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $194.98	Professional		$95.50	$120.23	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.90 / $64.57	Professional	26	$24.55	$38.90	$64.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $63.10 / $128.82	Professional	TC	$53.70	$63.10	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $128.82 / $173.78	Professional		$39.81	$128.82	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $83.18	Facility	26	$52.48	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $338.84	Professional		$117.49	$208.93	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $89.13	Professional	26	$36.31	$52.48	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $158.49 / $245.47	Professional	TC	$79.43	$158.49	$245.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $380.19 / $380.19	Facility	26	$295.12	$380.19	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $1,412.54	Professional		$125.89	$181.97	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $331.13	Professional	26	$38.02	$50.12	$331.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $151.36 / $1,230.27	Professional	TC	$85.11	$151.36	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $316.23	Professional		$120.23	$154.88	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $45.71 / $77.62	Professional	26	$37.15	$45.71	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $107.15 / $245.47	Professional	TC	$83.18	$107.15	$245.47