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 $64.69 / $80.50 / $166.46	Professional		$64.69	$80.50	$166.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $32.52 / $51.21	Professional	26	$26.53	$32.52	$51.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.15 / $47.97 / $83.76	Professional	TC	$38.15	$47.97	$83.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $77.31 / $80.41	Professional		$71.13	$77.31	$80.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $25.74 / $38.24	Professional	26	$25.19	$25.74	$38.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $73.09 / $91.37	Professional		$63.96	$73.09	$91.37
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 $38.00 / $43.43 / $54.29	Professional	TC	$38.00	$43.43	$54.29
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 $70.20 / $101.16 / $159.53	Professional		$70.20	$101.16	$159.53
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 $41.75 / $56.80 / $93.55	Professional	TC	$41.75	$56.80	$93.55
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 $78.93 / $87.93 / $546.16	Professional		$78.93	$87.93	$546.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.67 / $37.53 / $210.44	Professional	26	$33.67	$37.53	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.27 / $50.40 / $335.78	Professional	TC	$45.27	$50.40	$335.78
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $83.73 / $139.19	Professional		$78.93	$83.73	$139.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $35.72 / $65.52	Professional	26	$33.54	$35.72	$65.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $48.00 / $86.45	Professional	TC	$45.25	$48.00	$86.45