Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.97 / $47.62 / $73.80	Facility	26	$37.97	$47.62	$73.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $98.93 / $158.35	Professional		$90.09	$98.93	$158.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $39.04 / $61.23	Professional	26	$37.52	$39.04	$61.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.57 / $59.89 / $93.24	Professional	TC	$52.57	$59.89	$93.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $114.30 / $179.83	Professional		$83.16	$114.30	$179.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $37.18 / $80.26	Professional	26	$18.04	$37.18	$80.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $81.28 / $113.25	Professional	TC	$81.28	$81.28	$113.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $113.75 / $156.19	Professional		$47.25	$113.75	$156.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.97 / $44.97 / $73.65	Facility	26	$44.97	$44.97	$73.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $109.96 / $176.47	Professional		$97.20	$109.96	$176.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $46.67 / $71.45	Professional	26	$39.19	$46.67	$71.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.44 / $64.22 / $106.78	Professional	TC	$55.44	$64.22	$106.78
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 $108.32 / $145.08 / $757.96	Professional		$108.32	$145.08	$757.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.27 / $53.74 / $312.14	Professional	26	$44.27	$53.74	$312.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.05 / $93.50 / $470.82	Professional	TC	$64.05	$93.50	$470.82
United Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $130.74 / $191.40	Professional		$105.83	$130.74	$191.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.26 / $51.28 / $76.30	Professional	26	$43.26	$51.28	$76.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.10 / $77.30 / $118.14	Professional	TC	$61.10	$77.30	$118.14