Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.05 / $53.56 / $72.70	Facility	26	$24.05	$53.56	$72.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $72.25 / $135.71	Professional		$58.74	$72.25	$135.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $16.30 / $26.71	Professional	26	$13.26	$16.30	$26.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.06 / $49.89 / $109.00	Professional	TC	$41.06	$49.89	$109.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $59.33 / $69.79	Professional		$51.78	$59.33	$69.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $12.97 / $13.09	Professional	26	$12.97	$12.97	$13.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $71.90 / $89.88	Professional		$62.92	$71.90	$89.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $15.32 / $19.14	Professional	26	$13.41	$15.32	$19.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.51 / $56.58 / $70.73	Professional	TC	$49.51	$56.58	$70.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $19.60	Facility	26	$19.60	$19.60	$19.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $82.67 / $152.37	Professional		$62.09	$82.67	$152.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $21.70 / $35.26	Professional	26	$14.49	$21.70	$35.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.90 / $62.22 / $110.31	Professional	TC	$46.90	$62.22	$110.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $40.36 / $77.22 / $77.22	Facility	26	$40.36	$77.22	$77.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $79.76 / $507.76	Professional		$64.67	$79.76	$507.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.01 / $18.95 / $109.02	Professional	26	$17.01	$18.95	$109.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.65 / $60.99 / $398.67	Professional	TC	$47.65	$60.99	$398.67
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $79.76 / $124.71	Professional		$64.67	$79.76	$124.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.00 / $18.77 / $32.50	Professional	26	$17.00	$18.77	$32.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.65 / $60.99 / $97.58	Professional	TC	$47.65	$60.99	$97.58