Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.04 / $55.73 / $69.65	Facility	26	$23.04	$55.73	$69.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $43.86 / $61.34	Professional		$30.49	$43.86	$61.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $15.58 / $25.18	Professional	26	$11.51	$15.58	$25.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $27.94 / $50.76	Professional	TC	$19.93	$27.94	$50.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	26	$28.84	$28.84	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $48.12 / $60.15	Professional		$42.11	$48.12	$60.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.85 / $16.97 / $21.21	Professional	26	$14.85	$16.97	$21.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $31.15 / $38.94	Professional	TC	$27.26	$31.15	$38.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $54.80 / $85.71	Professional		$36.65	$54.80	$85.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $18.69 / $33.72	Professional	26	$13.88	$18.69	$33.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $32.97 / $51.99	Professional	TC	$21.60	$32.97	$51.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.32 / $80.00 / $80.00	Facility	26	$38.32	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.51 / $301.08	Professional		$40.00	$48.51	$301.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $17.68 / $104.20	Professional	26	$14.78	$17.68	$104.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.42 / $32.04 / $196.89	Professional	TC	$24.42	$32.04	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $46.56 / $74.50	Professional		$39.90	$46.56	$74.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $17.68 / $28.29	Professional	26	$14.52	$17.68	$28.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $29.11 / $48.65	Professional	TC	$23.23	$29.11	$48.65