Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.01 / $62.42 / $77.17	Facility	26	$49.01	$62.42	$77.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $168.62 / $247.93	Professional		$130.72	$168.62	$247.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $51.30 / $63.83	Professional	26	$46.89	$51.30	$63.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.83 / $106.18 / $177.61	Professional	TC	$82.83	$106.18	$177.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $131.78 / $197.45	Professional		$94.02	$131.78	$197.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $43.77 / $59.09	Professional	26	$35.02	$43.77	$59.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $123.01 / $123.01 / $123.01	Professional	TC	$123.01	$123.01	$123.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $130.55 / $179.26	Professional		$47.60	$130.55	$179.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.34 / $53.34 / $85.48	Facility	26	$53.34	$53.34	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $201.11 / $325.68	Professional		$112.83	$201.11	$325.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $53.05 / $79.18	Professional	26	$41.59	$53.05	$79.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.81 / $151.43 / $248.77	Professional	TC	$70.81	$151.43	$248.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $200.75 / $1,609.32	Professional		$137.52	$200.75	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $58.10 / $379.76	Professional	26	$44.59	$58.10	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.93 / $157.27 / $1,331.00	Professional	TC	$92.93	$157.27	$1,331.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $186.68 / $305.89	Professional		$142.26	$186.68	$305.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.00 / $51.25 / $98.35	Professional	26	$41.00	$51.25	$98.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $117.50 / $210.27	Professional	TC	$90.80	$117.50	$210.27