Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.02 / $31.46 / $176.12	Facility	26	$26.02	$31.46	$176.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $116.98 / $145.22	Professional		$104.95	$116.98	$145.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $26.99 / $42.89	Professional	26	$25.71	$26.99	$42.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.81 / $80.31 / $109.52	Professional	TC	$77.81	$80.31	$109.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $137.66 / $149.47	Professional		$137.66	$137.66	$149.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $36.06 / $45.84	Professional	26	$35.46	$36.06	$45.84
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $95.00 / $95.00 / $118.14	Professional	TC	$95.00	$95.00	$118.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $172.55 / $236.94	Professional		$32.90	$172.55	$236.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.65 / $32.65 / $50.77	Facility	26	$32.65	$32.65	$50.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $128.61 / $249.97	Professional		$92.31	$128.61	$249.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $32.15 / $50.15	Professional	26	$27.50	$32.15	$50.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.98 / $94.67 / $206.32	Professional	TC	$71.98	$94.67	$206.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $76.68 / $147.81 / $147.81	Facility	26	$76.68	$147.81	$147.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $164.68 / $898.89	Professional		$116.50	$164.68	$898.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $37.11 / $371.50	Professional	26	$29.84	$37.11	$371.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $94.03 / $125.59 / $695.99	Professional	TC	$94.03	$125.59	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $148.83 / $284.58	Professional		$97.25	$148.83	$284.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $36.00 / $51.93	Professional	26	$29.15	$36.00	$51.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.94 / $111.72 / $188.38	Professional	TC	$60.94	$111.72	$188.38