Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.73 / $48.63 / $95.23	Facility	26	$28.73	$48.63	$95.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $109.58 / $311.98	Professional		$82.81	$109.58	$311.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.36 / $26.12 / $74.97	Professional	26	$21.36	$26.12	$74.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $78.23 / $170.28	Professional	TC	$59.92	$78.23	$170.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $33.54 / $46.52	Professional	26	$19.17	$33.54	$46.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $106.82 / $133.52	Professional		$93.46	$106.82	$133.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $19.91 / $26.46	Professional	26	$17.42	$19.91	$26.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.04 / $86.90 / $108.63	Professional	TC	$76.04	$86.90	$108.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $127.47 / $237.75	Professional		$84.98	$127.47	$237.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.52 / $31.24 / $53.89	Professional	26	$21.52	$31.24	$53.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.68 / $94.24 / $197.15	Professional	TC	$59.68	$94.24	$197.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $131.37 / $841.81	Professional		$86.41	$131.37	$841.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.79 / $27.29 / $205.77	Professional	26	$24.79	$27.29	$205.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.02 / $104.30 / $680.78	Professional	TC	$61.02	$104.30	$680.78
United Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $131.04 / $194.18	Professional		$83.90	$131.04	$194.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $27.07 / $48.24	Professional	26	$24.53	$27.07	$48.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.47 / $103.70 / $191.26	Professional	TC	$60.47	$103.70	$191.26