Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $79.59 / $99.49	Facility	26	$32.90	$79.59	$99.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $78.34 / $163.24	Professional		$42.16	$78.34	$163.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $27.42 / $97.91	Professional	26	$23.48	$27.42	$97.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $53.40 / $80.15	Professional	TC	$17.32	$53.40	$80.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $44.90 / $44.90	Professional		$44.90	$44.90	$44.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.77 / $39.77 / $39.77	Professional	26	$39.77	$39.77	$39.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $42.60 / $84.93	Professional		$41.48	$42.60	$84.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $24.97 / $49.78	Professional	26	$24.34	$24.97	$49.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.19 / $17.63 / $35.15	Professional	TC	$17.19	$17.63	$35.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $78.66 / $123.21	Professional		$34.95	$78.66	$123.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.11 / $31.91 / $49.51	Professional	26	$20.11	$31.91	$49.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.03 / $50.41 / $81.52	Professional	TC	$14.03	$50.41	$81.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $120.92 / $120.92	Facility	26	$55.73	$120.92	$120.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $97.38 / $441.00	Professional		$49.58	$97.38	$441.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $33.19 / $338.48	Professional	26	$28.88	$33.19	$338.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $63.56 / $338.48	Professional	TC	$23.82	$63.56	$338.48
United Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $96.59 / $106.72	Professional		$49.74	$96.59	$106.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $32.22 / $48.96	Professional	26	$28.88	$32.22	$48.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $56.62 / $68.93	Professional	TC	$21.86	$56.62	$68.93