Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.99 / $140.30 / $190.48	Facility	26	$62.99	$140.30	$190.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $66.29 / $151.47	Professional		$55.57	$66.29	$151.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $47.94 / $231.00	Professional	26	$37.99	$47.94	$231.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $19.94 / $36.13	Professional	TC	$17.57	$19.94	$36.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Professional		$68.90	$68.90	$68.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.78 / $76.78 / $76.78	Professional	26	$76.78	$76.78	$76.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $68.26 / $136.09	Professional		$66.55	$68.26	$136.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.99 / $48.19 / $96.08	Professional	26	$46.99	$48.19	$96.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $20.05 / $40.00	Professional	TC	$19.55	$20.05	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $81.26 / $128.13	Professional		$54.31	$81.26	$128.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $56.54 / $89.16	Professional	26	$38.53	$56.54	$89.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.78 / $24.13 / $37.88	Professional	TC	$15.78	$24.13	$37.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.57 / $210.41 / $210.41	Facility	26	$107.57	$210.41	$210.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $80.56 / $404.61	Professional		$69.16	$80.56	$404.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.26 / $56.84 / $402.86	Professional	26	$48.26	$56.84	$402.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $25.11 / $402.86	Professional	TC	$21.28	$25.11	$402.86
United Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $79.68 / $121.76	Professional		$68.40	$79.68	$121.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.25 / $56.23 / $78.47	Professional	26	$48.25	$56.23	$78.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $23.90 / $38.17	Professional	TC	$20.14	$23.90	$38.17