Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $70.79 / $97.72	Facility	26	$26.30	$70.79	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $223.87	Professional		$70.79	$102.33	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $25.70 / $67.61	Professional	26	$15.85	$25.70	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $75.86 / $169.82	Professional	TC	$51.29	$75.86	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $102.33	Professional		$72.44	$91.20	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	26	$15.14	$15.14	$15.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $177.83	Professional		$77.62	$95.50	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.50 / $35.48	Professional	26	$15.85	$19.50	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $75.86 / $141.25	Professional	TC	$61.66	$75.86	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.90 / $22.91 / $32.36	Facility	26	$4.90	$22.91	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $190.55	Professional		$74.13	$102.33	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $23.99 / $42.66	Professional	26	$16.22	$23.99	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $77.62 / $151.36	Professional	TC	$56.23	$77.62	$151.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $91.20 / $91.20	Facility	26	$46.77	$91.20	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $630.96	Professional		$77.62	$95.50	$630.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $21.88 / $128.82	Professional	26	$19.50	$21.88	$128.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $72.44 / $512.86	Professional	TC	$57.54	$72.44	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $134.90	Professional		$77.62	$95.50	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $21.38 / $33.11	Professional	26	$19.50	$21.38	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $72.44 / $104.71	Professional	TC	$57.54	$72.44	$104.71