Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.25 / $35.45 / $48.08	Facility	26	$27.25	$35.45	$48.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $68.52 / $100.59	Professional		$62.29	$68.52	$100.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $25.79 / $37.00	Professional	26	$24.78	$25.79	$37.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.51 / $42.72 / $63.11	Professional	TC	$37.51	$42.72	$63.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $84.89 / $131.94	Professional		$61.11	$84.89	$131.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $29.42 / $52.23	Professional	26	$22.98	$29.42	$52.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $79.70 / $79.70 / $79.70	Professional	TC	$79.70	$79.70	$79.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $78.75 / $108.14	Professional		$31.83	$78.75	$108.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.32 / $29.32 / $48.77	Facility	26	$29.32	$29.32	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $76.19 / $125.00	Professional		$66.67	$76.19	$125.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.46 / $30.47 / $46.61	Professional	26	$25.46	$30.47	$46.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.05 / $46.28 / $75.70	Professional	TC	$41.05	$46.28	$75.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.90 / $139.28 / $139.28	Facility	26	$72.90	$139.28	$139.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $100.06 / $524.64	Professional		$76.98	$100.06	$524.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $35.20 / $195.35	Professional	26	$28.88	$35.20	$195.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.53 / $66.29 / $329.23	Professional	TC	$45.53	$66.29	$329.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $90.06 / $129.60	Professional		$72.70	$90.06	$129.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $33.77 / $50.56	Professional	26	$28.22	$33.77	$50.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.48 / $54.95 / $83.89	Professional	TC	$44.48	$54.95	$83.89