Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.49 / $70.25 / $138.08	Facility	26	$41.49	$70.25	$138.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $101.45 / $469.00	Professional		$81.52	$101.45	$469.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $45.50 / $188.00	Professional	26	$33.34	$45.50	$188.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.91 / $55.88 / $109.47	Professional	TC	$46.91	$55.88	$109.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $65.22 / $120.18	Professional		$61.14	$65.22	$120.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $43.26 / $48.45	Professional	26	$25.96	$43.26	$48.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $76.09 / $108.14	Professional		$61.43	$76.09	$108.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $28.74 / $40.46	Professional	26	$21.56	$28.74	$40.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $44.60 / $55.75	Professional	TC	$33.45	$44.60	$55.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $110.27 / $169.27	Professional		$70.91	$110.27	$169.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $43.95 / $71.81	Professional	26	$30.72	$43.95	$71.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.90 / $64.34 / $98.37	Professional	TC	$39.90	$64.34	$98.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $163.47 / $163.47	Facility	26	$86.18	$163.47	$163.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $101.01 / $555.44	Professional		$85.40	$101.01	$555.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $40.44 / $269.13	Professional	26	$36.60	$40.44	$269.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.80 / $57.79 / $351.46	Professional	TC	$48.80	$57.79	$351.46
United Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $92.92 / $161.46	Professional		$85.40	$92.92	$161.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $40.03 / $72.14	Professional	26	$36.60	$40.03	$72.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.80 / $54.80 / $90.00	Professional	TC	$48.80	$54.80	$90.00