Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.71 / $31.51 / $49.30	Facility	26	$26.71	$31.51	$49.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $89.62 / $142.08	Professional		$80.94	$89.62	$142.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $28.05 / $49.72	Professional	26	$26.39	$28.05	$49.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.55 / $60.31 / $98.09	Professional	TC	$54.55	$60.31	$98.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $86.31 / $170.43	Professional		$68.03	$86.31	$170.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.25 / $25.76 / $31.03	Professional	26	$24.25	$25.76	$31.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $65.61 / $65.61 / $117.11	Professional	TC	$65.61	$65.61	$117.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $101.85 / $139.85	Professional		$34.28	$101.85	$139.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.57 / $31.57 / $51.04	Facility	26	$31.57	$31.57	$51.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $98.18 / $157.72	Professional		$86.37	$98.18	$157.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.04 / $32.14 / $49.31	Professional	26	$27.04	$32.14	$49.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.61 / $67.97 / $110.41	Professional	TC	$57.61	$67.97	$110.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.02 / $171.00 / $171.00	Facility	26	$77.02	$171.00	$171.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $125.48 / $687.27	Professional		$100.37	$125.48	$687.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.46 / $37.08 / $254.27	Professional	26	$30.46	$37.08	$254.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $89.20 / $479.00	Professional	TC	$66.56	$89.20	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $117.10 / $166.89	Professional		$94.79	$117.10	$166.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.76 / $36.28 / $53.33	Professional	26	$29.76	$36.28	$53.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.03 / $80.34 / $115.55	Professional	TC	$65.03	$80.34	$115.55