Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.98 / $83.12 / $121.19	Facility	26	$41.98	$83.12	$121.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $115.49 / $373.17	Professional		$55.46	$115.49	$373.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $44.10 / $156.00	Professional	26	$24.78	$44.10	$156.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $78.92 / $129.54	Professional	TC	$10.96	$78.92	$129.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $38.24 / $50.90	Professional		$38.24	$38.24	$50.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $32.57 / $57.32	Professional	26	$32.57	$32.57	$57.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.54 / $7.54 / $7.82	Professional	TC	$7.54	$7.54	$7.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $43.57 / $54.46	Professional		$32.68	$43.57	$54.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.51 / $34.02 / $42.52	Professional	26	$25.51	$34.02	$42.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.16 / $9.55 / $11.94	Professional	TC	$7.16	$9.55	$11.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	26	$49.32	$49.32	$49.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $120.06 / $189.56	Professional		$46.18	$120.06	$189.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $38.47 / $64.98	Professional	26	$30.29	$38.47	$64.98
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.21 / $115.21 / $115.21	Professional	50	$115.21	$115.21	$115.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $80.50 / $131.43	Professional	TC	$9.55	$80.50	$131.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.38 / $193.75 / $193.75	Facility	26	$101.38	$193.75	$193.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $123.22 / $558.63	Professional		$71.14	$123.22	$558.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $35.43 / $260.82	Professional	26	$30.30	$35.43	$260.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.78 / $91.61 / $430.88	Professional	TC	$35.78	$91.61	$430.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $118.22 / $167.51	Professional		$67.80	$118.22	$167.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $32.34 / $66.93	Professional	26	$30.30	$32.34	$66.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $84.14 / $105.89	Professional	TC	$27.39	$84.14	$105.89