Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.45 / $155.94 / $194.92	Facility	26	$64.45	$155.94	$194.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $145.06 / $223.75	Professional		$70.94	$145.06	$223.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $29.17 / $69.62	Professional	26	$15.71	$29.17	$69.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.29 / $129.36 / $187.57	Professional	TC	$43.29	$129.36	$187.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $68.27 / $68.27	Professional		$68.27	$68.27	$68.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.70 / $23.70 / $35.60	Professional	26	$23.70	$23.70	$35.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $81.29 / $101.61	Professional		$71.13	$81.29	$101.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.55 / $36.06 / $47.92	Professional	26	$31.55	$36.06	$47.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.58 / $45.23 / $56.54	Professional	TC	$39.58	$45.23	$56.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	26	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $148.30 / $425.80	Professional		$81.06	$148.30	$425.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $26.95 / $66.52	Professional	26	$17.55	$26.95	$66.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.69 / $109.38 / $409.66	Professional	TC	$42.69	$109.38	$409.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $205.87 / $205.87 / $205.87	Facility	26	$205.87	$205.87	$205.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $206.04 / $2,899.89	Professional		$94.24	$206.04	$2,899.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $46.68 / $425.60	Professional	26	$17.70	$46.68	$425.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.91 / $128.69 / $2,808.09	Professional	TC	$59.91	$128.69	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $132.41 / $326.32	Professional		$92.83	$132.41	$326.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $33.84 / $70.72	Professional	26	$17.39	$33.84	$70.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.76 / $92.18 / $308.51	Professional	TC	$59.76	$92.18	$308.51