Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.59 / $83.55 / $111.39	Facility	26	$38.59	$83.55	$111.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $112.51 / $337.88	Professional		$57.71	$112.51	$337.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $29.52 / $132.00	Professional	26	$25.26	$29.52	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.27 / $75.81 / $124.42	Professional	TC	$31.27	$75.81	$124.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $45.72 / $66.37	Professional		$40.40	$45.72	$66.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.87 / $31.73 / $45.34	Professional	26	$20.87	$31.73	$45.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $51.72 / $64.65	Professional		$38.79	$51.72	$64.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $21.78 / $27.22	Professional	26	$16.32	$21.78	$27.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $29.94 / $37.43	Professional	TC	$22.46	$29.94	$37.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $88.62 / $146.97	Professional		$49.56	$88.62	$146.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.24 / $33.50 / $52.74	Professional	26	$23.24	$33.50	$52.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $49.29 / $98.46	Professional	TC	$26.32	$49.29	$98.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.11 / $124.11 / $124.11	Facility	26	$124.11	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $109.65 / $562.97	Professional		$58.87	$109.65	$562.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.79 / $30.86 / $186.58	Professional	26	$27.79	$30.86	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.15 / $72.83 / $399.92	Professional	TC	$30.15	$72.83	$399.92
United Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $83.18 / $128.25	Professional		$58.72	$83.18	$128.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.79 / $29.59 / $48.38	Professional	26	$27.79	$29.59	$48.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.15 / $43.17 / $84.07	Professional	TC	$30.15	$43.17	$84.07