Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $72.44 / $79.43	Facility	26	$57.54	$72.44	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $117.49	Professional		$30.90	$44.67	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.60 / $51.29	Professional	26	$12.02	$16.60	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $58.88	Professional	TC	$19.95	$28.18	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $25.70 / $29.51	Professional	26	$12.59	$25.70	$29.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $4.07 / $4.07	Professional	TC	$4.07	$4.07	$4.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $95.50	Professional		$41.69	$52.48	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.62 / $33.88	Professional	26	$14.79	$18.62	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.88 / $61.66	Professional	TC	$27.54	$33.88	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $18.62 / $26.92	Facility	26	$3.98	$18.62	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $87.10	Professional		$35.48	$53.70	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.78 / $33.88	Professional	26	$13.18	$17.78	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.11 / $60.26	Professional	TC	$20.89	$33.11	$60.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $79.43 / $79.43	Facility	26	$38.02	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $302.00	Professional		$38.02	$48.98	$302.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.78 / $104.71	Professional	26	$14.79	$17.78	$104.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $194.98	Professional	TC	$22.91	$31.62	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $67.61	Professional		$38.02	$46.77	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $17.38 / $25.70	Professional	26	$14.45	$17.38	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.84 / $42.66	Professional	TC	$22.39	$28.84	$42.66