Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $37.15 / $51.29	Facility	26	$25.70	$37.15	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $223.87	Professional		$81.28	$125.89	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $112.20	Professional	26	$26.92	$40.74	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $81.28 / $138.04	Professional	TC	$54.95	$81.28	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $154.88	Professional		$64.57	$81.28	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $30.20 / $52.48	Professional	26	$24.55	$30.20	$52.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $69.18 / $107.15	Professional	TC	$44.67	$69.18	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $102.33 / $141.25	Professional		$33.11	$102.33	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $51.29	Facility	26	$31.62	$31.62	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $173.78	Professional		$83.18	$104.71	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $54.95	Professional	26	$25.70	$32.36	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $72.44 / $123.03	Professional	TC	$54.95	$72.44	$123.03
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 $95.50 / $125.89 / $691.83	Professional		$95.50	$125.89	$691.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $37.15 / $257.04	Professional	26	$29.51	$37.15	$257.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $89.13 / $478.63	Professional	TC	$64.57	$89.13	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $165.96	Professional		$89.13	$117.49	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $50.12	Professional	26	$28.18	$36.31	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $79.43 / $114.82	Professional	TC	$61.66	$79.43	$114.82