Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.14 / $82.73 / $112.32	Facility	26	$37.14	$82.73	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.69 / $103.01 / $203.32	Professional		$67.69	$103.01	$203.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.41 / $25.71 / $56.86	Professional	26	$20.41	$25.71	$56.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.11 / $75.20 / $131.52	Professional	TC	$48.11	$75.20	$131.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $93.92 / $106.78	Professional		$73.78	$93.92	$106.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $30.14 / $35.04	Professional	26	$19.85	$30.14	$35.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $102.85 / $128.56	Professional		$89.99	$102.85	$128.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.65 / $27.02 / $33.78	Professional	26	$23.65	$27.02	$33.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.34 / $75.81 / $94.78	Professional	TC	$66.34	$75.81	$94.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $116.02 / $195.67	Professional		$83.61	$116.02	$195.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $31.26 / $54.58	Professional	26	$22.38	$31.26	$54.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.01 / $82.23 / $143.59	Professional	TC	$59.01	$82.23	$143.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.65 / $118.08 / $118.08	Facility	26	$61.65	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $103.29 / $642.13	Professional		$88.90	$103.29	$642.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $28.51 / $167.46	Professional	26	$25.28	$28.51	$167.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.22 / $75.03 / $474.67	Professional	TC	$64.22	$75.03	$474.67
United Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $96.72 / $164.99	Professional		$88.29	$96.72	$164.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.23 / $28.51 / $52.28	Professional	26	$25.23	$28.51	$52.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.66 / $70.84 / $125.08	Professional	TC	$60.66	$70.84	$125.08