Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.99 / $37.42 / $57.16	Facility	26	$29.99	$37.42	$57.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $70.22 / $104.80	Professional		$64.17	$70.22	$104.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.62 / $30.87 / $43.47	Professional	26	$29.62	$30.87	$43.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $38.86 / $61.46	Professional	TC	$34.54	$38.86	$61.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $95.85 / $132.66	Professional		$61.92	$95.85	$132.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.03 / $28.72 / $62.12	Professional	26	$27.03	$28.72	$62.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.90 / $57.90 / $76.42	Professional	TC	$57.90	$57.90	$76.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $81.20 / $111.50	Professional		$37.90	$81.20	$111.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.60 / $34.60 / $58.02	Facility	26	$34.60	$34.60	$58.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $78.55 / $128.87	Professional		$69.26	$78.55	$128.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.84 / $36.10 / $56.24	Professional	26	$30.84	$36.10	$56.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.49 / $43.20 / $72.64	Professional	TC	$37.49	$43.20	$72.64
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 $77.63 / $106.58 / $555.44	Professional		$77.63	$106.58	$555.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $41.84 / $269.13	Professional	26	$34.22	$41.84	$269.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $65.76 / $351.46	Professional	TC	$42.70	$65.76	$351.46
United Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $92.84 / $138.77	Professional		$75.16	$92.84	$138.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.44 / $40.44 / $58.95	Professional	26	$33.44	$40.44	$58.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.72 / $51.53 / $80.00	Professional	TC	$41.72	$51.53	$80.00