Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.61 / $93.35 / $275.74	Facility	26	$36.61	$93.35	$275.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $99.53 / $465.00	Professional		$66.51	$99.53	$465.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $29.82 / $77.53	Professional	26	$24.03	$29.82	$77.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $63.49 / $164.22	Professional	TC	$42.50	$63.49	$164.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $89.04 / $100.65	Professional		$66.19	$89.04	$100.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $31.73 / $54.02	Professional	26	$17.04	$31.73	$54.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $116.54 / $145.68	Professional		$101.98	$116.54	$145.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.95 / $27.38 / $34.22	Professional	26	$23.95	$27.38	$34.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.02 / $89.17 / $111.46	Professional	TC	$78.02	$89.17	$111.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $117.83 / $224.67	Professional		$80.30	$117.83	$224.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $33.90 / $56.10	Professional	26	$19.94	$33.90	$56.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.40 / $81.81 / $161.62	Professional	TC	$59.40	$81.81	$161.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $255.84 / $255.84 / $255.84	Facility	26	$255.84	$255.84	$255.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $97.21 / $659.39	Professional		$80.84	$97.21	$659.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.60 / $26.84 / $173.89	Professional	26	$23.60	$26.84	$173.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.04 / $74.06 / $485.50	Professional	TC	$56.04	$74.06	$485.50
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $90.98 / $180.72	Professional		$80.84	$90.98	$180.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $25.15 / $53.30	Professional	26	$23.15	$25.15	$53.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.04 / $66.12 / $125.30	Professional	TC	$56.04	$66.12	$125.30