Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $97.72 / $131.83	Facility	26	$36.31	$97.72	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $467.74	Professional		$70.79	$125.89	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $44.67 / $97.72	Professional	26	$25.12	$44.67	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $89.13 / $218.78	Professional	TC	$42.66	$89.13	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $109.65	Professional		$75.86	$89.13	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $45.71	Professional	26	$20.42	$28.18	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $234.42	Professional		$102.33	$131.83	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $54.95	Professional	26	$23.99	$30.90	$54.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $100.00 / $177.83	Professional	TC	$77.62	$100.00	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $251.19	Professional		$77.62	$117.49	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $33.11 / $63.10	Professional	26	$21.38	$33.11	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $87.10 / $165.96	Professional	TC	$56.23	$87.10	$165.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $257.04 / $257.04	Facility	26	$199.53	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $660.69	Professional		$79.43	$97.72	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $27.54 / $173.78	Professional	26	$23.44	$27.54	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $74.13 / $489.78	Professional	TC	$56.23	$74.13	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $162.18	Professional		$79.43	$91.20	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $25.12 / $45.71	Professional	26	$22.91	$25.12	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $66.07 / $117.49	Professional	TC	$54.95	$66.07	$117.49