Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.17 / $35.00 / $55.65	Facility	26	$29.17	$35.00	$55.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $78.37 / $124.00	Professional		$71.26	$78.37	$124.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $30.02 / $46.36	Professional	26	$28.81	$30.02	$46.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.45 / $48.35 / $70.76	Professional	TC	$42.45	$48.35	$70.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $98.16 / $151.75	Professional		$65.44	$98.16	$151.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.32 / $27.31 / $57.30	Professional	26	$26.32	$27.31	$57.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $91.26 / $91.26 / $91.26	Professional	TC	$91.26	$91.26	$91.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $89.95 / $123.51	Professional		$36.04	$89.95	$123.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.61 / $33.61 / $55.91	Facility	26	$33.61	$33.61	$55.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $87.12 / $138.60	Professional		$75.98	$87.12	$138.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.77 / $35.11 / $54.28	Professional	26	$29.77	$35.11	$54.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.22 / $50.80 / $84.37	Professional	TC	$46.22	$50.80	$84.37
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 $85.89 / $110.06 / $600.27	Professional		$85.89	$110.06	$600.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $40.86 / $233.19	Professional	26	$33.28	$40.86	$233.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.49 / $71.29 / $372.64	Professional	TC	$51.49	$71.29	$372.64
United Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $102.31 / $154.02	Professional		$81.51	$102.31	$154.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.51 / $38.77 / $58.22	Professional	26	$32.51	$38.77	$58.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.35 / $62.15 / $94.05	Professional	TC	$47.35	$62.15	$94.05