Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.22 / $46.08 / $73.80	Facility	26	$38.22	$46.08	$73.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $113.84 / $182.90	Professional		$103.18	$113.84	$182.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.76 / $39.32 / $61.64	Professional	26	$37.76	$39.32	$61.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.41 / $74.51 / $109.52	Professional	TC	$65.41	$74.51	$109.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $140.66 / $222.11	Professional		$95.36	$140.66	$222.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $59.44 / $80.26	Professional	26	$35.22	$59.44	$80.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $78.93 / $101.48 / $141.85	Professional	TC	$78.93	$101.48	$141.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $130.19 / $178.78	Professional		$47.25	$130.19	$178.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.68 / $44.68 / $73.65	Facility	26	$44.68	$44.68	$73.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $123.82 / $203.46	Professional		$110.79	$123.82	$203.46
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 $70.15 / $78.81 / $130.51	Professional	TC	$70.15	$78.81	$130.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $111.76 / $213.45 / $213.45	Facility	26	$111.76	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $157.16 / $872.98	Professional		$126.70	$157.16	$872.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $54.12 / $298.50	Professional	26	$44.28	$54.12	$298.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.73 / $105.89 / $574.48	Professional	TC	$79.73	$105.89	$574.48
United Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $149.68 / $225.22	Professional		$121.17	$149.68	$225.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.26 / $51.28 / $76.80	Professional	26	$43.26	$51.28	$76.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.91 / $96.24 / $137.49	Professional	TC	$77.91	$96.24	$137.49