Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.80 / $29.47 / $45.29	Facility	26	$24.80	$29.47	$45.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $83.03 / $125.23	Professional		$77.06	$83.03	$125.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $25.51 / $39.36	Professional	26	$24.50	$25.51	$39.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.57 / $53.45 / $95.68	Professional	TC	$52.57	$53.45	$95.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $99.35 / $110.38	Professional		$75.06	$99.35	$110.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $22.50 / $37.96	Professional	26	$22.32	$22.50	$37.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.61 / $37.61 / $54.42	Professional	TC	$37.61	$37.61	$54.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $97.30 / $133.61	Professional		$31.11	$97.30	$133.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.56 / $29.56 / $47.23	Facility	26	$29.56	$29.56	$47.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $95.54 / $147.69	Professional		$68.08	$95.54	$147.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.31 / $29.82 / $46.15	Professional	26	$25.31	$29.82	$46.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.71 / $67.48 / $103.01	Professional	TC	$43.71	$67.48	$103.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $71.41 / $136.22 / $136.22	Facility	26	$71.41	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $123.12 / $654.87	Professional		$85.46	$123.12	$654.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.26 / $34.44 / $217.94	Professional	26	$28.26	$34.44	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.48 / $90.05 / $461.63	Professional	TC	$59.48	$90.05	$461.63
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $112.17 / $160.25	Professional		$80.12	$112.17	$160.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $33.77 / $57.82	Professional	26	$25.98	$33.77	$57.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.68 / $78.06 / $116.64	Professional	TC	$55.68	$78.06	$116.64