Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $42.66 / $74.13	Facility	26	$33.88	$42.66	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $141.25	Professional		$29.51	$53.70	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $37.15 / $131.83	Professional	26	$18.20	$37.15	$131.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $234.42 / $263.03	Professional	50	$35.48	$234.42	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $20.89 / $46.77	Professional	TC	$7.94	$20.89	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $85.11	Professional		$41.69	$51.29	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $27.54 / $42.66	Professional	26	$24.55	$27.54	$42.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $21.88 / $36.31	Professional	TC	$19.05	$21.88	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $97.72	Professional		$32.36	$51.29	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $29.51 / $54.95	Professional	26	$20.89	$29.51	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $22.39 / $52.48	Professional	TC	$9.77	$22.39	$52.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $147.91	Facility	26	$77.62	$77.62	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $363.08	Professional		$33.11	$61.66	$363.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.20 / $199.53	Professional	26	$22.39	$30.20	$199.53
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $33.11 / $213.80	Professional	TC	$10.96	$33.11	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $87.10	Professional		$33.11	$57.54	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $25.70 / $39.81	Professional	26	$21.38	$25.70	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $31.62 / $50.12	Professional	TC	$10.72	$31.62	$50.12