Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.60 / $98.88 / $165.07	Facility	26	$61.60	$98.88	$165.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $84.76 / $371.00	Professional		$71.40	$84.76	$371.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.86 / $47.96 / $215.00	Professional	26	$39.86	$47.96	$215.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $38.90 / $79.00	Professional	TC	$26.17	$38.90	$79.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $82.78 / $90.03	Professional		$62.09	$82.78	$90.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.45 / $40.60 / $44.15	Professional	26	$30.45	$40.60	$44.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.64 / $42.18 / $45.88	Professional	TC	$31.64	$42.18	$45.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $98.01 / $169.20	Professional		$68.34	$98.01	$169.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $58.10 / $96.86	Professional	26	$40.95	$58.10	$96.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.05 / $41.13 / $76.91	Professional	TC	$26.05	$41.13	$76.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $204.09	Facility	26	$95.51	$95.51	$204.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $82.45 / $676.25	Professional		$62.65	$82.45	$676.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.10 / $51.67 / $271.97	Professional	26	$38.10	$51.67	$271.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $34.19 / $290.20	Professional	TC	$21.44	$34.19	$290.20
United Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $78.12 / $151.88	Professional		$62.31	$78.12	$151.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $47.60 / $87.59	Professional	26	$37.82	$47.60	$87.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $31.35 / $62.86	Professional	TC	$20.77	$31.35	$62.86