Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.82 / $62.99 / $114.19	Facility	26	$33.82	$62.99	$114.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $132.12 / $552.00	Professional		$99.39	$132.12	$552.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $45.13 / $138.00	Professional	26	$29.75	$45.13	$138.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.51 / $95.77 / $430.43	Professional	TC	$74.51	$95.77	$430.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $82.61 / $104.36	Professional		$64.59	$82.61	$104.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.24 / $31.03 / $60.19	Professional	26	$24.24	$31.03	$60.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.06 / $53.06 / $53.06	Professional	TC	$53.06	$53.06	$53.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $94.16 / $113.45	Professional		$76.01	$94.16	$113.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $25.78 / $33.97	Professional	26	$19.32	$25.78	$33.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.74 / $64.98 / $81.23	Professional	TC	$48.74	$64.98	$81.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Facility	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $132.97 / $213.96	Professional		$88.79	$132.97	$213.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.79 / $39.40 / $62.99	Professional	26	$27.79	$39.40	$62.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.99 / $91.22 / $148.31	Professional	TC	$60.99	$91.22	$148.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $171.00 / $171.00 / $171.00	Facility	26	$171.00	$171.00	$171.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $125.48 / $687.27	Professional		$105.17	$125.48	$687.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $36.28 / $254.27	Professional	26	$33.21	$36.28	$254.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.55 / $89.20 / $479.00	Professional	TC	$74.55	$89.20	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $120.10 / $204.50	Professional		$104.83	$120.10	$204.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.26 / $35.09 / $63.71	Professional	26	$32.26	$35.09	$63.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.55 / $85.12 / $140.30	Professional	TC	$74.55	$85.12	$140.30