Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.63 / $74.39 / $108.47	Facility	26	$30.63	$74.39	$108.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $108.85 / $219.82	Professional		$87.06	$108.85	$219.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $25.14 / $41.62	Professional	26	$18.93	$25.14	$41.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.20 / $83.71 / $178.18	Professional	TC	$69.20	$83.71	$178.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $20.32 / $20.32	Professional	26	$20.32	$20.32	$20.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $113.54 / $141.93	Professional		$99.35	$113.54	$141.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.59 / $21.24 / $29.03	Professional	26	$18.59	$21.24	$29.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.77 / $92.30 / $115.38	Professional	TC	$80.77	$92.30	$115.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $30.37	Facility	26	$30.37	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $138.76 / $223.96	Professional		$96.81	$138.76	$223.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.64 / $32.36 / $55.90	Professional	26	$22.64	$32.36	$55.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.54 / $102.68 / $164.49	Professional	TC	$72.54	$102.68	$164.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $121.12 / $121.12 / $121.12	Facility	26	$121.12	$121.12	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $123.50 / $859.12	Professional		$101.15	$123.50	$859.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.87 / $28.30 / $211.35	Professional	26	$25.87	$28.30	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.34 / $94.19 / $689.44	Professional	TC	$75.34	$94.19	$689.44
United Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $122.34 / $224.34	Professional		$100.61	$122.34	$224.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.09 / $28.15 / $49.68	Professional	26	$25.09	$28.15	$49.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.80 / $94.19 / $158.40	Professional	TC	$74.80	$94.19	$158.40