Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.00 / $86.61 / $115.47	Facility	26	$40.00	$86.61	$115.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $91.09 / $208.27	Professional		$68.75	$91.09	$208.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $25.08 / $70.08	Professional	26	$19.89	$25.08	$70.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.19 / $69.95 / $127.20	Professional	TC	$51.19	$69.95	$127.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $83.87 / $94.81	Professional		$65.93	$83.87	$94.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.63 / $32.89 / $52.73	Professional	26	$21.63	$32.89	$52.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $83.40 / $104.25	Professional		$72.98	$83.40	$104.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $22.58 / $30.90	Professional	26	$19.75	$22.58	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.22 / $60.82 / $76.03	Professional	TC	$53.22	$60.82	$76.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $104.26 / $183.16	Professional		$75.84	$104.26	$183.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $29.05 / $60.48	Professional	26	$20.61	$29.05	$60.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.16 / $74.98 / $136.19	Professional	TC	$55.16	$74.98	$136.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.65 / $128.65 / $128.65	Facility	26	$128.65	$128.65	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $97.80 / $648.50	Professional		$80.92	$97.80	$648.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.36 / $30.68 / $180.32	Professional	26	$22.36	$30.68	$180.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.82 / $70.12 / $468.12	Professional	TC	$58.82	$70.12	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $97.80 / $156.24	Professional		$78.54	$97.80	$156.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $29.86 / $45.06	Professional	26	$22.10	$29.86	$45.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.46 / $67.12 / $118.94	Professional	TC	$58.46	$67.12	$118.94