Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $144.54 / $173.78	Facility	26	$41.69	$144.54	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $302.00	Professional		$70.79	$100.00	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $181.97	Professional	26	$38.02	$57.54	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $77.62	Professional	TC	$21.88	$38.90	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $138.04	Professional		$61.66	$70.79	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $60.26	Professional	26	$34.67	$34.67	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $158.49	Professional		$64.57	$81.28	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $70.79	Professional	26	$33.11	$41.69	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.90 / $75.86	Professional	TC	$30.90	$38.90	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $173.78	Professional		$66.07	$95.50	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $102.33	Professional	26	$40.74	$56.23	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $75.86	Professional	TC	$23.44	$38.90	$75.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $190.55	Facility	26	$95.50	$95.50	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $616.60	Professional		$58.88	$87.10	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $53.70 / $263.03	Professional	26	$37.15	$53.70	$263.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $263.03	Professional	TC	$19.95	$33.11	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $141.25	Professional		$57.54	$75.86	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $46.77 / $83.18	Professional	26	$36.31	$46.77	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $58.88	Professional	TC	$19.05	$30.20	$58.88