Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $114.82 / $158.49	Facility	26	$37.15	$114.82	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $562.34	Professional		$89.13	$173.78	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $53.70 / $154.88	Professional	26	$28.84	$53.70	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $104.71 / $416.87	Professional	TC	$61.66	$104.71	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $125.89	Professional		$64.57	$81.28	$125.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $26.92 / $53.70	Professional	26	$23.99	$26.92	$53.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $52.48 / $69.18	Professional	TC	$26.30	$52.48	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $147.91	Professional		$91.20	$109.65	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.90 / $50.12	Professional	26	$25.70	$30.90	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $72.44 / $125.89	Professional	TC	$64.57	$72.44	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $223.87	Professional		$91.20	$134.90	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $39.81 / $67.61	Professional	26	$27.54	$39.81	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $91.20 / $158.49	Professional	TC	$61.66	$91.20	$158.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $169.82 / $169.82	Facility	26	$77.62	$169.82	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $691.83	Professional		$100.00	$125.89	$691.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $37.15 / $257.04	Professional	26	$32.36	$37.15	$257.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $91.20 / $478.63	Professional	TC	$70.79	$91.20	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $177.83	Professional		$100.00	$120.23	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $35.48 / $54.95	Professional	26	$31.62	$35.48	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $85.11 / $125.89	Professional	TC	$70.79	$85.11	$125.89