Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.55 / $68.81 / $99.62	Facility	26	$60.55	$68.81	$99.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.48 / $709.48 / $709.48	Professional		$709.48	$709.48	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $257.12 / $257.12 / $257.12	Professional	26	$257.12	$257.12	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.47 / $452.37 / $452.37	Professional	TC	$150.47	$452.37	$452.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.67 / $54.56 / $71.26	Professional	26	$35.67	$54.56	$71.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.51 / $53.51 / $53.51	Professional	TC	$53.51	$53.51	$53.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $208.01 / $208.01	Professional		$208.01	$208.01	$208.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $331.68 / $331.68 / $331.68	Facility	26	$331.68	$331.68	$331.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $188.51 / $968.53	Professional		$124.51	$188.51	$968.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $52.99 / $279.39	Professional	26	$38.40	$52.99	$279.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.31 / $132.11 / $774.95	Professional	TC	$78.31	$132.11	$774.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $168.89 / $235.67	Professional		$120.77	$168.89	$235.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $48.85 / $90.56	Professional	26	$38.40	$48.85	$90.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.97 / $122.48 / $163.56	Professional	TC	$75.97	$122.48	$163.56