Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.42 / $64.39 / $79.90	Facility	26	$40.42	$64.39	$79.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $98.70 / $120.97	Professional		$97.28	$98.70	$120.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.67 / $33.68 / $46.11	Professional	26	$32.67	$33.68	$46.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.57 / $265.10 / $265.10	Professional	50	$50.57	$265.10	$265.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.83 / $66.03 / $80.22	Professional	TC	$63.83	$66.03	$80.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $73.04 / $76.11	Professional		$73.04	$73.04	$76.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $37.04 / $55.58	Professional	26	$25.78	$37.04	$55.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $93.13 / $109.56 / $114.16	Professional	50	$93.13	$109.56	$114.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $150.74 / $150.74	Professional		$150.74	$150.74	$150.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $132.04 / $186.78	Professional		$87.01	$132.04	$186.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.50 / $45.50 / $65.09	Professional	26	$29.50	$45.50	$65.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.86 / $87.24 / $121.69	Professional	TC	$55.86	$87.24	$121.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $82.13 / $82.13 / $157.44	Facility	26	$82.13	$82.13	$157.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $130.35 / $667.61	Professional		$108.44	$130.35	$667.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $45.30 / $219.03	Professional	26	$37.17	$45.30	$219.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.52 / $84.58 / $448.58	Professional	TC	$70.52	$84.58	$448.58
United Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $116.62 / $187.59	Professional		$106.38	$116.62	$187.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $41.89 / $67.11	Professional	26	$37.17	$41.89	$67.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.67 / $80.88 / $126.55	Professional	TC	$69.67	$80.88	$126.55