Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.65 / $166.07 / $207.58	Facility	26	$68.65	$166.07	$207.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $107.83 / $264.64	Professional		$95.59	$107.83	$264.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $52.09 / $253.00	Professional	26	$40.96	$52.09	$253.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.94 / $61.86 / $114.95	Professional	TC	$45.94	$61.86	$114.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.44 / $83.44 / $83.44	Professional	26	$83.44	$83.44	$83.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $99.12 / $197.62	Professional		$96.64	$99.12	$197.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.06 / $52.37 / $104.41	Professional	26	$51.06	$52.37	$104.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.58 / $46.75 / $93.21	Professional	TC	$45.58	$46.75	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $139.80 / $216.55	Professional		$78.52	$139.80	$216.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.22 / $60.94 / $96.10	Professional	26	$42.22	$60.94	$96.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $73.68 / $130.97	Professional	TC	$36.31	$73.68	$130.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $262.14 / $262.14	Facility	26	$117.07	$262.14	$262.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $168.99 / $1,141.00	Professional		$113.86	$168.99	$1,141.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.82 / $62.80 / $493.68	Professional	26	$52.82	$62.80	$493.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $94.68 / $900.73	Professional	TC	$53.26	$94.68	$900.73
United Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $133.79 / $207.05	Professional		$99.56	$133.79	$207.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.33 / $61.30 / $86.39	Professional	26	$52.33	$61.30	$86.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $64.67 / $134.06	Professional	TC	$53.26	$64.67	$134.06