Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.82 / $41.41 / $226.89	Facility	26	$39.82	$41.41	$226.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $121.96 / $121.96	Professional		$121.96	$121.96	$121.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.82 / $41.41 / $48.40	Professional	26	$39.82	$41.41	$48.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.73 / $73.55 / $572.44	Professional	TC	$70.73	$73.55	$572.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $148.47 / $177.99	Professional		$148.47	$148.47	$177.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.67 / $49.67 / $71.34	Professional	26	$33.67	$49.67	$71.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $115.15 / $158.12	Professional		$47.42	$115.15	$158.12
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 / $149.41 / $968.53	Professional		$105.83	$149.41	$968.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $45.77 / $279.39	Professional	26	$34.46	$45.77	$279.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.55 / $115.31 / $774.95	Professional	TC	$64.55	$115.31	$774.95
United Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $143.19 / $207.83	Professional		$99.61	$143.19	$207.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $42.62 / $71.25	Professional	26	$34.46	$42.62	$71.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.55 / $90.07 / $148.82	Professional	TC	$64.55	$90.07	$148.82