Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $69.18 / $75.86	Facility	26	$54.95	$69.18	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $338.84	Professional		$131.83	$177.83	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $54.95 / $128.82	Professional	26	$45.71	$54.95	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $239.88	Professional	TC	$81.28	$112.20	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $169.82	Professional		$100.00	$125.89	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $81.28	Professional	26	$38.02	$48.98	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $95.50 / $123.03	Professional	TC	$63.10	$95.50	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $131.83 / $181.97	Professional		$51.29	$131.83	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $85.11	Facility	26	$53.70	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $346.74	Professional		$128.82	$218.78	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $104.71	Professional	26	$39.81	$56.23	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $158.49 / $245.47	Professional	TC	$81.28	$158.49	$245.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $478.63 / $478.63	Facility	26	$371.54	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $1,621.81	Professional		$138.04	$190.55	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $398.11	Professional	26	$46.77	$63.10	$398.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $151.36 / $1,380.38	Professional	TC	$89.13	$151.36	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $354.81	Professional		$138.04	$177.83	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $87.10	Professional	26	$46.77	$58.88	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $112.20 / $257.04	Professional	TC	$87.10	$112.20	$257.04