Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.69 / $49.95 / $105.91	Facility	26	$36.69	$49.95	$105.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $110.32 / $505.00	Professional		$86.06	$110.32	$505.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $27.39 / $111.20	Professional	26	$24.64	$27.39	$111.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $75.17 / $173.96	Professional	TC	$61.40	$75.17	$173.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $88.86 / $108.21	Professional		$75.91	$88.86	$108.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.69 / $24.50 / $112.20	Professional	26	$19.69	$24.50	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $95.90 / $119.87	Professional		$71.92	$95.90	$119.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $23.07 / $28.84	Professional	26	$17.30	$23.07	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.62 / $72.81 / $91.03	Professional	TC	$54.62	$72.81	$91.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $119.09 / $203.26	Professional		$89.32	$119.09	$203.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $32.90 / $51.40	Professional	26	$22.10	$32.90	$51.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.48 / $86.78 / $151.13	Professional	TC	$65.48	$86.78	$151.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $116.58 / $116.58	Facility	26	$61.02	$116.58	$116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $117.08 / $692.04	Professional		$103.51	$117.08	$692.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $30.30 / $165.29	Professional	26	$26.43	$30.30	$165.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.54 / $87.70 / $526.74	Professional	TC	$78.54	$87.70	$526.74
United Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $115.85 / $193.63	Professional		$103.51	$115.85	$193.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $29.72 / $50.41	Professional	26	$25.34	$29.72	$50.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.54 / $87.70 / $139.80	Professional	TC	$78.54	$87.70	$139.80