Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.86 / $62.44 / $119.58	Facility	26	$44.86	$62.44	$119.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $161.35 / $422.00	Professional		$118.48	$161.35	$422.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $34.08 / $169.00	Professional	26	$30.53	$34.08	$169.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $109.52 / $208.79	Professional	TC	$87.95	$109.52	$208.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $214.08 / $253.18	Professional		$130.31	$214.08	$253.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $24.70 / $41.83	Professional	26	$19.98	$24.70	$41.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $123.85 / $192.00	Professional		$92.89	$123.85	$192.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $25.54 / $31.93	Professional	26	$19.16	$25.54	$31.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.73 / $98.30 / $122.88	Professional	TC	$73.73	$98.30	$122.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $168.18 / $307.47	Professional		$113.03	$168.18	$307.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.02 / $39.42 / $63.27	Professional	26	$27.02	$39.42	$63.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.27 / $133.54 / $250.27	Professional	TC	$75.27	$133.54	$250.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $147.81 / $147.81 / $147.81	Facility	26	$147.81	$147.81	$147.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $159.88 / $898.89	Professional		$102.89	$159.88	$898.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $37.11 / $371.50	Professional	26	$32.19	$37.11	$371.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.45 / $125.59 / $695.99	Professional	TC	$76.45	$125.59	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $159.88 / $257.04	Professional		$95.24	$159.88	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $34.54 / $60.61	Professional	26	$32.19	$34.54	$60.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.81 / $125.59 / $213.70	Professional	TC	$62.81	$125.59	$213.70