Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.16 / $63.80 / $134.99	Facility	26	$23.16	$63.80	$134.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $98.52 / $613.00	Professional		$82.10	$98.52	$613.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.06 / $27.74 / $240.00	Professional	26	$21.06	$27.74	$240.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.04 / $72.69 / $442.00	Professional	TC	$61.04	$72.69	$442.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $37.72 / $44.00	Professional	26	$37.72	$37.72	$44.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $85.85 / $415.83	Professional		$59.02	$85.85	$415.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.99 / $21.80 / $105.59	Professional	26	$14.99	$21.80	$105.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.03 / $64.05 / $310.23	Professional	TC	$44.03	$64.05	$310.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $90.97 / $148.41	Professional		$47.40	$90.97	$148.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $25.71 / $42.05	Professional	26	$13.94	$25.71	$42.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.46 / $55.32 / $109.37	Professional	TC	$33.46	$55.32	$109.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $78.48 / $148.36	Facility	26	$78.48	$78.48	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $84.23 / $875.57	Professional		$58.86	$84.23	$875.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.45 / $21.65 / $212.17	Professional	26	$16.45	$21.65	$212.17
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.41 / $62.58 / $663.40	Professional	TC	$42.41	$62.58	$663.40
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $84.23 / $154.43	Professional		$58.64	$84.23	$154.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $21.65 / $37.24	Professional	26	$16.39	$21.65	$37.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.41 / $62.58 / $114.73	Professional	TC	$42.41	$62.58	$114.73