Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.63 / $112.80 / $140.99	Facility	26	$46.63	$112.80	$140.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $107.06 / $297.62	Professional		$86.07	$107.06	$297.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $32.52 / $77.73	Professional	26	$26.53	$32.52	$77.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.53 / $74.53 / $130.10	Professional	TC	$59.53	$74.53	$130.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $102.55 / $106.65	Professional		$94.35	$102.55	$106.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $44.28 / $111.00	Professional	26	$25.30	$44.28	$111.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $97.08 / $121.35	Professional		$84.95	$97.08	$121.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $29.66 / $37.08	Professional	26	$25.96	$29.66	$37.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.99 / $67.42 / $84.27	Professional	TC	$58.99	$67.42	$84.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $133.26 / $210.14	Professional		$93.79	$133.26	$210.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.08 / $42.14 / $68.47	Professional	26	$28.08	$42.14	$68.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.67 / $88.38 / $145.50	Professional	TC	$64.67	$88.38	$145.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $149.85 / $149.85	Facility	26	$78.25	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $115.98 / $730.62	Professional		$104.16	$115.98	$730.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $37.53 / $210.44	Professional	26	$33.65	$37.53	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.45 / $78.45 / $520.19	Professional	TC	$70.45	$78.45	$520.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $110.43 / $198.90	Professional		$104.11	$110.43	$198.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $35.72 / $64.36	Professional	26	$33.54	$35.72	$64.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.45 / $74.70 / $136.97	Professional	TC	$70.45	$74.70	$136.97