Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $79.43 / $89.13	Facility	26	$70.79	$79.43	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $281.84	Professional		$131.83	$177.83	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $138.04	Professional	26	$51.29	$67.61	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $107.15 / $218.78	Professional	TC	$77.62	$107.15	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $43.65 / $89.13	Professional	26	$41.69	$43.65	$89.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	TC	$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $138.04 / $190.55	Professional		$56.23	$138.04	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $87.10	Facility	26	$54.95	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $331.13	Professional		$117.49	$208.93	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $57.54 / $114.82	Professional	26	$46.77	$57.54	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $147.91 / $245.47	Professional	TC	$69.18	$147.91	$245.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $524.81 / $524.81	Facility	26	$407.38	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $1,548.82	Professional		$131.83	$194.98	$1,548.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $389.05	Professional	26	$48.98	$64.57	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $134.90 / $1,659.59	Professional	TC	$79.43	$134.90	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $338.84	Professional		$128.82	$162.18	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $61.66 / $91.20	Professional	26	$48.98	$61.66	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $93.33 / $239.88	Professional	TC	$77.62	$93.33	$239.88