Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.50 / $131.84 / $164.79	Facility	26	$54.50	$131.84	$164.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $62.59 / $246.35	Professional		$52.52	$62.59	$246.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $40.58 / $101.33	Professional	26	$36.49	$40.58	$101.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $18.26 / $183.00	Professional	TC	$16.03	$18.26	$183.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $143.08 / $143.08	Professional		$143.08	$143.08	$143.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $142.44 / $284.01	Professional		$138.88	$142.44	$284.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.58 / $41.62 / $82.99	Professional	26	$40.58	$41.62	$82.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.30 / $100.82 / $201.02	Professional	TC	$98.30	$100.82	$201.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $121.25 / $197.30	Professional		$78.94	$121.25	$197.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $50.58 / $80.06	Professional	26	$33.40	$50.58	$80.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $70.41 / $131.99	Professional	TC	$22.55	$70.41	$131.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $92.97 / $196.24 / $196.24	Facility	26	$92.97	$196.24	$196.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $143.04 / $886.70	Professional		$74.75	$143.04	$886.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.20 / $51.49 / $414.43	Professional	26	$46.20	$51.49	$414.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $85.61 / $639.54	Professional	TC	$22.09	$85.61	$639.54
United Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $116.10 / $209.44	Professional		$68.08	$116.10	$209.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.20 / $50.98 / $75.59	Professional	26	$46.20	$50.98	$75.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $73.58 / $149.44	Professional	TC	$16.59	$73.58	$149.44