Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $138.04 / $151.36	Facility	26	$109.65	$138.04	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $275.42	Professional		$61.66	$87.10	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.11 / $131.83	Professional	26	$25.70	$33.11	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $295.12 / $407.38	Professional	50	$173.78	$295.12	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $48.98 / $162.18	Professional	TC	$33.88	$48.98	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $58.88	Professional		$48.98	$54.95	$58.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	50	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $123.03	Professional		$63.10	$70.79	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $28.84 / $50.12	Professional	26	$25.70	$28.84	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $42.66 / $74.13	Professional	TC	$38.02	$42.66	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $36.31 / $51.29	Facility	26	$7.76	$36.31	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $177.83	Professional		$66.07	$102.33	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.90 / $69.18	Professional	26	$26.92	$38.90	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $61.66 / $109.65	Professional	TC	$37.15	$61.66	$109.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $144.54 / $144.54	Facility	26	$74.13	$144.54	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $588.84	Professional		$83.18	$102.33	$588.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $37.15 / $338.84	Professional	26	$32.36	$37.15	$338.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $354.81	Professional	TC	$48.98	$64.57	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $144.54	Professional		$79.43	$97.72	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $36.31 / $53.70	Professional	26	$31.62	$36.31	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $63.10 / $91.20	Professional	TC	$48.98	$63.10	$91.20