Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.65 / $68.84 / $124.72	Facility	26	$40.65	$68.84	$124.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $155.38 / $485.00	Professional		$88.95	$155.38	$485.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $52.08 / $160.00	Professional	26	$32.13	$52.08	$160.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.47 / $64.33 / $215.92	Professional	TC	$54.47	$64.33	$215.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $87.18 / $122.05	Professional		$65.39	$87.18	$122.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.46 / $47.49 / $50.61	Professional	26	$26.46	$47.49	$50.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $77.83 / $77.83 / $77.83	Professional	TC	$77.83	$77.83	$77.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $82.75 / $116.72	Professional		$66.00	$82.75	$116.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $28.18 / $37.54	Professional	26	$21.13	$28.18	$37.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.97 / $50.63 / $63.29	Professional	TC	$37.97	$50.63	$63.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $115.38 / $183.41	Professional		$79.93	$115.38	$183.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $42.19 / $69.34	Professional	26	$30.35	$42.19	$69.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.68 / $72.11 / $115.96	Professional	TC	$47.68	$72.11	$115.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.15 / $163.00 / $163.00	Facility	26	$84.15	$163.00	$163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $108.65 / $600.27	Professional		$94.55	$108.65	$600.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.26 / $38.77 / $233.19	Professional	26	$36.26	$38.77	$233.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.29 / $68.42 / $372.64	Professional	TC	$58.29	$68.42	$372.64
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $102.81 / $178.68	Professional		$94.55	$102.81	$178.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.79 / $38.33 / $70.86	Professional	26	$35.79	$38.33	$70.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.29 / $63.48 / $106.20	Professional	TC	$58.29	$63.48	$106.20