Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.23 / $70.70 / $88.39	Facility	26	$29.23	$70.70	$88.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $63.02 / $115.81	Professional		$43.71	$63.02	$115.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $19.59 / $31.76	Professional	26	$14.46	$19.59	$31.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.25 / $43.42 / $84.04	Professional	TC	$29.25	$43.42	$84.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $15.86 / $15.86	Professional	26	$15.78	$15.86	$15.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $67.90 / $84.88	Professional		$59.42	$67.90	$84.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $21.50 / $26.87	Professional	26	$18.80	$21.50	$26.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.61 / $46.41 / $58.01	Professional	TC	$40.61	$46.41	$58.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $23.92	Facility	26	$23.92	$23.92	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $81.06 / $134.88	Professional		$54.47	$81.06	$134.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $26.16 / $46.26	Professional	26	$17.60	$26.16	$46.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $53.10 / $89.58	Professional	TC	$36.86	$53.10	$89.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $49.19 / $94.47 / $94.47	Facility	26	$49.19	$94.47	$94.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $70.33 / $420.07	Professional		$64.08	$70.33	$420.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.01 / $23.27 / $132.09	Professional	26	$21.01	$23.27	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $46.24 / $288.04	Professional	TC	$41.50	$46.24	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $67.45 / $120.87	Professional		$63.40	$67.45	$120.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.01 / $22.74 / $38.42	Professional	26	$21.01	$22.74	$38.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $45.07 / $76.09	Professional	TC	$41.50	$45.07	$76.09