Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.86 / $45.47 / $86.77	Facility	26	$26.86	$45.47	$86.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $84.79 / $321.32	Professional		$51.88	$84.79	$321.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $28.08 / $95.56	Professional	26	$16.92	$28.08	$95.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $56.82 / $118.52	Professional	TC	$25.02	$56.82	$118.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $41.85 / $64.72	Professional		$35.20	$41.85	$64.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $24.65 / $43.45	Professional	26	$17.92	$24.65	$43.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $42.56 / $53.20	Professional		$31.92	$42.56	$53.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $18.61 / $23.26	Professional	26	$13.96	$18.61	$23.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $23.95 / $29.94	Professional	TC	$17.96	$23.95	$29.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $79.09 / $136.30	Professional		$40.94	$79.09	$136.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $25.35 / $45.62	Professional	26	$18.11	$25.35	$45.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $39.77 / $100.78	Professional	TC	$21.05	$39.77	$100.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.00 / $115.00 / $115.00	Facility	26	$115.00	$115.00	$115.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $98.82 / $575.66	Professional		$48.52	$98.82	$575.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $25.26 / $232.81	Professional	26	$19.77	$25.26	$232.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $63.11 / $398.91	Professional	TC	$23.69	$63.11	$398.91
United Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $59.33 / $110.36	Professional		$48.52	$59.33	$110.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.26 / $37.10	Professional	26	$19.05	$25.26	$37.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $32.35 / $87.13	Professional	TC	$22.92	$32.35	$87.13