Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.31 / $59.72 / $115.44	Facility	26	$43.31	$59.72	$115.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $134.43 / $427.00	Professional		$82.59	$134.43	$427.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $46.97 / $140.00	Professional	26	$27.64	$46.97	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.52 / $62.21 / $251.90	Professional	TC	$51.52	$62.21	$251.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $61.35 / $95.86	Professional		$55.49	$61.35	$95.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $39.90 / $49.04	Professional	26	$22.98	$39.90	$49.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.45 / $35.45 / $69.06	Professional	TC	$35.45	$35.45	$69.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $71.98 / $102.13	Professional		$58.10	$71.98	$102.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $24.44 / $33.61	Professional	26	$18.32	$24.44	$33.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.70 / $44.94 / $56.17	Professional	TC	$33.70	$44.94	$56.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $102.97 / $160.55	Professional		$69.05	$102.97	$160.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $36.69 / $61.64	Professional	26	$26.36	$36.69	$61.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.13 / $64.81 / $101.89	Professional	TC	$42.13	$64.81	$101.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $139.28 / $139.28 / $139.28	Facility	26	$139.28	$139.28	$139.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $96.22 / $524.64	Professional		$83.02	$96.22	$524.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $33.77 / $195.35	Professional	26	$30.96	$33.77	$195.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.50 / $61.95 / $329.23	Professional	TC	$51.50	$61.95	$329.23
United Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $90.53 / $150.60	Professional		$83.02	$90.53	$150.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $33.20 / $54.00	Professional	26	$30.96	$33.20	$54.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.50 / $58.07 / $94.14	Professional	TC	$51.50	$58.07	$94.14