Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.40 / $91.28 / $171.48	Facility	26	$59.40	$91.28	$171.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $130.41 / $302.39	Professional		$98.66	$130.41	$302.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.36 / $36.58 / $73.44	Professional	26	$29.36	$36.58	$73.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.39 / $89.70 / $163.71	Professional	TC	$72.39	$89.70	$163.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $119.16 / $134.69	Professional		$93.57	$119.16	$134.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $45.01 / $78.20	Professional	26	$32.08	$45.01	$78.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $118.29 / $147.86	Professional		$103.50	$118.29	$147.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.30 / $33.47 / $41.85	Professional	26	$29.30	$33.47	$41.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.20 / $84.81 / $106.01	Professional	TC	$74.20	$84.81	$106.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.64 / $48.64 / $48.64	Facility	26	$48.64	$48.64	$48.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $147.58 / $258.01	Professional		$109.25	$147.58	$258.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.73 / $42.94 / $70.45	Professional	26	$30.73	$42.94	$70.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.20 / $105.84 / $192.08	Professional	TC	$77.20	$105.84	$192.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $190.76 / $190.76 / $190.76	Facility	26	$190.76	$190.76	$190.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $140.75 / $927.52	Professional		$114.92	$140.75	$927.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $46.19 / $268.38	Professional	26	$33.36	$46.19	$268.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.59 / $98.42 / $659.08	Professional	TC	$81.59	$98.42	$659.08
United Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $140.75 / $235.85	Professional		$113.96	$140.75	$235.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $42.94 / $65.59	Professional	26	$33.32	$42.94	$65.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.38 / $94.56 / $158.38	Professional	TC	$80.38	$94.56	$158.38