Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.57 / $148.94 / $186.16	Facility	26	$61.57	$148.94	$186.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $709.48 / $799.14	Professional		$161.03	$709.48	$799.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $257.12 / $266.93	Professional	26	$61.66	$257.12	$266.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.36 / $452.37 / $532.16	Professional	TC	$99.36	$452.37	$532.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $113.40 / $130.41	Professional		$113.40	$113.40	$130.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $75.12 / $75.12	Professional	26	$28.22	$75.12	$75.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $125.88 / $155.07	Professional		$124.06	$125.88	$155.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.85 / $47.15 / $58.94	Professional	26	$46.85	$47.15	$58.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.73 / $76.90 / $153.33	Professional	TC	$74.73	$76.90	$153.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $331.68 / $420.16 / $420.16	Facility	26	$331.68	$420.16	$420.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $154.93 / $968.53	Professional		$105.83	$154.93	$968.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $44.29 / $279.39	Professional	26	$34.46	$44.29	$279.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $120.47 / $774.95	Professional	TC	$66.56	$120.47	$774.95
United Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $154.93 / $277.92	Professional		$105.83	$154.93	$277.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $39.26 / $81.30	Professional	26	$34.46	$39.26	$81.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $107.25 / $178.29	Professional	TC	$66.56	$107.25	$178.29