Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.66 / $126.03 / $183.77	Facility	26	$63.66	$126.03	$183.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $162.21 / $233.94	Professional		$126.12	$162.21	$233.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $49.62 / $94.06	Professional	26	$42.14	$49.62	$94.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.36 / $116.25 / $152.69	Professional	TC	$83.36	$116.25	$152.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $34.79 / $34.79	Professional	26	$34.79	$34.79	$34.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $149.90 / $187.37	Professional		$131.16	$149.90	$187.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $44.74 / $55.92	Professional	26	$39.14	$44.74	$55.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.02 / $105.16 / $131.44	Professional	TC	$92.02	$105.16	$131.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $201.73 / $313.39	Professional		$109.18	$201.73	$313.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $55.61 / $98.87	Professional	26	$32.83	$55.61	$98.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.43 / $139.76 / $218.21	Professional	TC	$74.43	$139.76	$218.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $422.56 / $422.56 / $422.56	Facility	26	$422.56	$422.56	$422.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $172.33 / $1,035.22	Professional		$124.85	$172.33	$1,035.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $46.74 / $287.12	Professional	26	$39.61	$46.74	$287.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $82.82 / $132.71 / $780.77	Professional	TC	$82.82	$132.71	$780.77
United Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $172.07 / $280.64	Professional		$124.85	$172.07	$280.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $42.63 / $91.01	Professional	26	$39.61	$42.63	$91.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.82 / $117.79 / $214.82	Professional	TC	$82.82	$117.79	$214.82