Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.57 / $79.14 / $115.39	Facility	26	$32.57	$79.14	$115.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $117.15 / $248.38	Professional		$98.26	$117.15	$248.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $29.61 / $67.15	Professional	26	$26.35	$29.61	$67.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.89 / $78.81 / $146.97	Professional	TC	$71.89	$78.81	$146.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $75.20 / $100.90	Professional		$65.17	$75.20	$100.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.74 / $21.74 / $32.85	Professional	26	$21.74	$21.74	$32.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $94.96 / $118.70	Professional		$71.22	$94.96	$118.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.11 / $25.48 / $31.85	Professional	26	$19.11	$25.48	$31.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.11 / $69.48 / $86.85	Professional	TC	$52.11	$69.48	$86.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $130.38 / $204.37	Professional		$87.29	$130.38	$204.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $35.40 / $55.16	Professional	26	$24.08	$35.40	$55.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.21 / $93.51 / $149.90	Professional	TC	$63.21	$93.51	$149.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $67.03 / $128.65 / $128.65	Facility	26	$67.03	$128.65	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $115.20 / $674.54	Professional		$103.43	$115.20	$674.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $31.84 / $180.38	Professional	26	$28.80	$31.84	$180.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.54 / $82.88 / $494.15	Professional	TC	$74.54	$82.88	$494.15
United Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $109.71 / $182.40	Professional		$103.29	$109.71	$182.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $30.66 / $55.60	Professional	26	$28.80	$30.66	$55.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.54 / $79.39 / $145.58	Professional	TC	$74.54	$79.39	$145.58