Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.00 / $39.86 / $63.22	Facility	26	$33.00	$39.86	$63.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $93.43 / $146.25	Professional		$83.94	$93.43	$146.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.61 / $34.47 / $54.95	Professional	26	$32.61	$34.47	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.34 / $56.82 / $83.24	Professional	TC	$51.34	$56.82	$83.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $115.91 / $179.22	Professional		$73.89	$115.91	$179.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.03 / $50.67 / $68.73	Professional	26	$30.03	$50.67	$68.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $79.73 / $79.73 / $110.51	Professional	TC	$79.73	$79.73	$110.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $106.05 / $145.62	Professional		$40.60	$106.05	$145.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.14 / $38.14 / $64.72	Facility	26	$38.14	$38.14	$64.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $100.20 / $156.83	Professional		$85.86	$100.20	$156.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.14 / $39.76 / $62.26	Professional	26	$34.14	$39.76	$62.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.08 / $60.44 / $102.24	Professional	TC	$54.08	$60.44	$102.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.69 / $181.68 / $181.68	Facility	26	$95.69	$181.68	$181.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $120.74 / $708.49	Professional		$100.16	$120.74	$708.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.68 / $46.08 / $257.68	Professional	26	$37.68	$46.08	$257.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.48 / $74.28 / $450.80	Professional	TC	$62.48	$74.28	$450.80
United Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $114.65 / $172.29	Professional		$95.56	$114.65	$172.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $44.61 / $65.48	Professional	26	$36.81	$44.61	$65.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.80 / $70.04 / $107.48	Professional	TC	$60.80	$70.04	$107.48