Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.54 / $90.94 / $174.69	Facility	26	$65.54	$90.94	$174.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $187.57 / $567.00	Professional		$117.46	$187.57	$567.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $72.00 / $241.61	Professional	26	$42.60	$72.00	$241.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.70 / $84.76 / $172.16	Professional	TC	$67.70	$84.76	$172.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $97.10 / $138.34	Professional		$83.00	$97.10	$138.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $39.75 / $66.83	Professional	26	$35.63	$39.75	$66.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $96.23 / $96.23 / $96.23	Professional	TC	$96.23	$96.23	$96.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $102.34 / $148.06	Professional		$83.62	$102.34	$148.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.91 / $37.22 / $46.52	Professional	26	$27.91	$37.22	$46.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.97 / $62.62 / $78.28	Professional	TC	$46.97	$62.62	$78.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.62 / $53.62 / $53.62	Facility	26	$53.62	$53.62	$53.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $149.29 / $238.32	Professional		$99.09	$149.29	$238.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.76 / $55.73 / $91.23	Professional	26	$39.76	$55.73	$91.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.33 / $91.71 / $143.38	Professional	TC	$59.33	$91.71	$143.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $111.13 / $211.96 / $211.96	Facility	26	$111.13	$211.96	$211.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $136.96 / $757.96	Professional		$116.07	$136.96	$757.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.44 / $51.28 / $312.14	Professional	26	$47.44	$51.28	$312.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.52 / $84.66 / $470.82	Professional	TC	$72.52	$84.66	$470.82
United Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $130.56 / $217.20	Professional		$119.96	$130.56	$217.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.44 / $50.89 / $88.57	Professional	26	$47.44	$50.89	$88.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.52 / $80.79 / $134.40	Professional	TC	$72.52	$80.79	$134.40