Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.41 / $112.27 / $152.43	Facility	26	$50.41	$112.27	$152.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $153.15 / $592.50	Professional		$104.68	$153.15	$592.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $37.70 / $173.25	Professional	26	$30.98	$37.70	$173.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.78 / $118.59 / $262.31	Professional	TC	$98.78	$118.59	$262.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $154.55 / $154.55	Professional		$154.55	$154.55	$154.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $81.70 / $81.70	Professional	26	$81.70	$81.70	$81.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $127.58 / $159.47	Professional		$95.68	$127.58	$159.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $28.42 / $35.52	Professional	26	$21.31	$28.42	$35.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.37 / $99.16 / $123.95	Professional	TC	$74.37	$99.16	$123.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $169.50 / $291.56	Professional		$124.34	$169.50	$291.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $43.49 / $69.45	Professional	26	$30.37	$43.49	$69.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.97 / $126.16 / $220.74	Professional	TC	$93.97	$126.16	$220.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.74 / $161.97 / $161.97	Facility	26	$84.74	$161.97	$161.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $159.16 / $968.58	Professional		$144.54	$159.16	$968.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.26 / $40.03 / $227.63	Professional	26	$36.26	$40.03	$227.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $106.04 / $119.82 / $740.95	Professional	TC	$106.04	$119.82	$740.95
United Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $159.16 / $262.08	Professional		$143.24	$159.16	$262.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.97 / $39.34 / $64.20	Professional	26	$35.97	$39.34	$64.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.04 / $119.82 / $182.83	Professional	TC	$106.04	$119.82	$182.83