Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $21.38 / $39.81	Facility	26	$20.89	$21.38	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $181.97	Professional		$79.43	$102.33	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.70 / $54.95	Professional	26	$20.89	$25.70	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $72.44 / $123.03	Professional	TC	$58.88	$72.44	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $117.49	Professional		$79.43	$79.43	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $33.11 / $41.69	Professional	26	$19.05	$33.11	$41.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $102.33 / $138.04	Professional		$26.30	$102.33	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $173.78	Professional		$69.18	$97.72	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $42.66	Professional	26	$20.42	$25.70	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $72.44 / $123.03	Professional	TC	$48.98	$72.44	$123.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $117.49 / $117.49	Facility	26	$61.66	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $691.83	Professional		$95.50	$123.03	$691.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $165.96	Professional	26	$23.99	$30.90	$165.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $91.20 / $524.81	Professional	TC	$70.79	$91.20	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $165.96	Professional		$89.13	$114.82	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $29.51 / $40.74	Professional	26	$23.44	$29.51	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $87.10 / $123.03	Professional	TC	$66.07	$87.10	$123.03