Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $46.77 / $229.09	Facility	26	$33.11	$46.77	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $295.12	Professional		$89.13	$154.88	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $97.72	Professional	26	$33.11	$50.12	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $125.89	Professional	TC	$52.48	$69.18	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $165.96	Professional		$70.79	$114.82	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $64.57	Professional	26	$31.62	$41.69	$64.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $75.86 / $104.71	Professional	TC	$66.07	$75.86	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $144.54	Professional		$40.74	$107.15	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $64.57	Facility	26	$38.02	$38.02	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $177.83	Professional		$77.62	$102.33	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $39.81 / $67.61	Professional	26	$32.36	$39.81	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $61.66 / $112.20	Professional	TC	$47.86	$61.66	$112.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $181.97 / $181.97	Facility	26	$95.50	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $707.95	Professional		$97.72	$120.23	$707.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $257.04	Professional	26	$37.15	$46.77	$257.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $75.86 / $446.68	Professional	TC	$61.66	$75.86	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $162.18	Professional		$91.20	$114.82	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $61.66	Professional	26	$35.48	$44.67	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $70.79 / $100.00	Professional	TC	$57.54	$70.79	$100.00