Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.70 / $96.78 / $129.03	Facility	26	$44.70	$96.78	$129.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $102.79 / $864.04	Professional		$62.40	$102.79	$864.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $72.23 / $888.00	Professional	26	$28.73	$72.23	$888.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $43.32 / $173.00	Professional	TC	$35.04	$43.32	$173.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $70.45 / $73.66	Professional		$41.64	$70.45	$73.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.87 / $54.69 / $54.69	Professional	26	$26.87	$54.69	$54.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $69.98 / $87.47	Professional		$69.38	$69.98	$87.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $34.32 / $42.90	Professional	26	$34.32	$34.32	$42.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.76 / $35.65 / $71.09	Professional	TC	$34.76	$35.65	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $86.79 / $133.84	Professional		$55.15	$86.79	$133.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.72 / $40.29 / $63.58	Professional	26	$27.72	$40.29	$63.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $45.87 / $68.36	Professional	TC	$27.43	$45.87	$68.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $170.00 / $170.00	Facility	26	$76.59	$170.00	$170.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $95.21 / $468.00	Professional		$76.38	$95.21	$468.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $40.72 / $378.10	Professional	26	$34.40	$40.72	$378.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.26 / $52.88 / $378.10	Professional	TC	$40.26	$52.88	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $84.81 / $144.71	Professional		$75.61	$84.81	$144.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $39.85 / $56.16	Professional	26	$34.40	$39.85	$56.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.26 / $47.48 / $67.19	Professional	TC	$40.26	$47.48	$67.19