Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $69.18 / $74.13	Facility	26	$53.70	$69.18	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $309.03	Professional		$131.83	$169.82	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $117.49	Professional	26	$42.66	$56.23	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $107.15 / $218.78	Professional	TC	$81.28	$107.15	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $75.86	Professional	26	$28.84	$44.67	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $128.82 / $177.83	Professional		$47.86	$128.82	$177.83
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 $125.89 / $213.80 / $346.74	Professional		$125.89	$213.80	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $97.72	Professional	26	$39.81	$56.23	$97.72
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 $338.84 / $446.68 / $446.68	Facility	26	$338.84	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $1,621.81	Professional		$134.90	$190.55	$1,621.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $380.19	Professional	26	$43.65	$57.54	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $158.49 / $1,318.26	Professional	TC	$93.33	$158.49	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $354.81	Professional		$134.90	$177.83	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $51.29 / $79.43	Professional	26	$43.65	$51.29	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $120.23 / $269.15	Professional	TC	$91.20	$120.23	$269.15