Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $131.83 / $181.97	Facility	26	$74.13	$131.83	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $436.52	Professional		$70.79	$102.33	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $51.29 / $158.49	Professional	26	$35.48	$51.29	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $54.95 / $218.78	Professional	TC	$32.36	$54.95	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $229.09	Professional		$52.48	$81.28	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $35.48 / $61.66	Professional	26	$27.54	$35.48	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $134.90	Professional		$58.88	$74.13	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $33.11 / $58.88	Professional	26	$26.30	$33.11	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $40.74 / $75.86	Professional	TC	$33.11	$40.74	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $42.66 / $61.66	Facility	26	$9.12	$42.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $190.55	Professional		$63.10	$102.33	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $81.28	Professional	26	$31.62	$45.71	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $56.23 / $123.03	Professional	TC	$27.54	$56.23	$123.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $169.82 / $169.82	Facility	26	$89.13	$169.82	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $1,000.00	Professional		$61.66	$97.72	$1,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $39.81 / $239.88	Professional	26	$32.36	$39.81	$239.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $57.54 / $776.25	Professional	TC	$26.92	$57.54	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $154.88	Professional		$61.66	$87.10	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $34.67 / $66.07	Professional	26	$32.36	$34.67	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $95.50	Professional	TC	$27.54	$42.66	$95.50