Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.35 / $34.86 / $73.18	Facility	26	$25.35	$34.86	$73.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $116.53 / $219.79	Professional		$86.95	$116.53	$219.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $18.73 / $80.34	Professional	26	$15.82	$18.73	$80.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.26 / $98.85 / $148.97	Professional	TC	$71.26	$98.85	$148.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $73.51 / $106.31	Professional		$68.92	$73.51	$106.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $17.18 / $31.18	Professional	26	$12.89	$17.18	$31.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $100.73 / $125.91	Professional		$88.14	$100.73	$125.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $18.62 / $23.28	Professional	26	$16.30	$18.62	$23.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.84 / $82.10 / $102.63	Professional	TC	$71.84	$82.10	$102.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.50 / $20.50 / $20.50	Facility	26	$20.50	$20.50	$20.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $112.48 / $185.32	Professional		$78.95	$112.48	$185.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $20.93 / $35.79	Professional	26	$14.98	$20.93	$35.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.06 / $89.30 / $156.78	Professional	TC	$64.06	$89.30	$156.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $42.12 / $81.76 / $81.76	Facility	26	$42.12	$81.76	$81.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $103.87 / $664.33	Professional		$85.68	$103.87	$664.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $19.32 / $113.72	Professional	26	$17.79	$19.32	$113.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.70 / $84.75 / $550.61	Professional	TC	$69.70	$84.75	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $97.92 / $172.80	Professional		$85.42	$97.92	$172.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $19.13 / $31.81	Professional	26	$17.47	$19.13	$31.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.87 / $80.23 / $133.94	Professional	TC	$66.87	$80.23	$133.94