Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $73.98 / $143.18	Facility	26	$39.72	$73.98	$143.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $139.38 / $553.00	Professional		$109.39	$139.38	$553.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $39.61 / $90.72	Professional	26	$32.90	$39.61	$90.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.69 / $94.39 / $204.11	Professional	TC	$75.69	$94.39	$204.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $109.77 / $528.60	Professional		$89.49	$109.77	$528.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.16 / $40.65 / $163.80	Professional	26	$29.16	$40.65	$163.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $64.31 / $64.31	Professional	TC	$64.31	$64.31	$64.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $100.10 / $131.38	Professional		$87.58	$100.10	$131.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $26.99 / $37.11	Professional	26	$23.62	$26.99	$37.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.97 / $73.09 / $91.38	Professional	TC	$63.97	$73.09	$91.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.97 / $43.97 / $43.97	Facility	26	$43.97	$43.97	$43.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $163.53 / $261.08	Professional		$105.00	$163.53	$261.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.20 / $78.65	Professional	26	$32.36	$48.20	$78.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.64 / $113.15 / $183.48	Professional	TC	$72.64	$113.15	$183.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $172.60 / $172.60	Facility	26	$90.38	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $156.76 / $810.58	Professional		$139.15	$156.76	$810.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.56 / $46.28 / $242.65	Professional	26	$41.56	$46.28	$242.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.40 / $110.48 / $567.92	Professional	TC	$95.40	$110.48	$567.92
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $150.06 / $244.39	Professional		$136.41	$150.06	$244.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.55 / $46.05 / $76.76	Professional	26	$41.55	$46.05	$76.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.56 / $104.61 / $172.25	Professional	TC	$94.56	$104.61	$172.25