Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $117.49 / $162.18	Facility	26	$52.48	$117.49	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $588.84	Professional		$81.28	$141.25	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $60.26 / $218.78	Professional	26	$20.89	$60.26	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $77.62 / $338.84	Professional	TC	$61.66	$77.62	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.92 / $45.71	Professional	26	$15.49	$26.92	$45.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $61.66	Professional	TC	$44.67	$44.67	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $169.82	Professional		$85.11	$89.13	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $22.39 / $43.65	Professional	26	$21.88	$22.39	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $66.07 / $128.82	Professional	TC	$64.57	$66.07	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $169.82	Professional		$47.86	$102.33	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $27.54 / $41.69	Professional	26	$13.80	$27.54	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $72.44 / $128.82	Professional	TC	$33.11	$72.44	$128.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $147.91	Facility	26	$77.62	$77.62	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $870.96	Professional		$58.88	$85.11	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.88 / $213.80	Professional	26	$16.60	$21.88	$213.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $63.10 / $660.69	Professional	TC	$42.66	$63.10	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $154.88	Professional		$58.88	$85.11	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.88 / $39.81	Professional	26	$16.60	$21.88	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $63.10 / $114.82	Professional	TC	$42.66	$63.10	$114.82