Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.10 / $43.80 / $54.06	Facility	26	$28.10	$43.80	$54.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $84.42 / $119.55	Professional		$78.84	$84.42	$119.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $28.89 / $41.47	Professional	26	$27.76	$28.89	$41.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	50	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.09 / $55.99 / $78.09	Professional	TC	$51.09	$55.99	$78.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $102.40 / $102.40	Professional		$102.40	$102.40	$102.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $38.29 / $55.58	Professional	26	$38.29	$38.29	$55.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $126.19 / $126.19 / $126.19	Professional	50	$126.19	$126.19	$126.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $99.05 / $136.01	Professional		$36.38	$99.05	$136.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $55.69 / $55.69	Facility	26	$55.69	$55.69	$55.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $94.57 / $146.83	Professional		$78.61	$94.57	$146.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $34.11 / $52.64	Professional	26	$28.87	$34.11	$52.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.74 / $60.44 / $96.40	Professional	TC	$49.74	$60.44	$96.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $82.13 / $157.44 / $157.44	Facility	26	$82.13	$157.44	$157.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $122.76 / $667.61	Professional		$94.82	$122.76	$667.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.69 / $43.78 / $219.03	Professional	26	$31.69	$43.78	$219.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.05 / $82.59 / $448.58	Professional	TC	$61.05	$82.59	$448.58
United Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $114.44 / $201.21	Professional		$92.64	$114.44	$201.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.59 / $39.83 / $61.95	Professional	26	$31.59	$39.83	$61.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.25 / $75.41 / $110.56	Professional	TC	$60.25	$75.41	$110.56