Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.75 / $88.97 / $165.07	Facility	26	$41.75	$88.97	$165.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $80.84 / $352.21	Professional		$65.54	$80.84	$352.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.05 / $47.02 / $222.00	Professional	26	$41.05	$47.02	$222.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $35.20 / $71.43	Professional	TC	$23.28	$35.20	$71.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $67.18 / $88.08	Professional		$63.44	$67.18	$88.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $78.77 / $85.66	Professional		$59.08	$78.77	$85.66
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 $28.63 / $38.17 / $41.51	Professional	TC	$28.63	$38.17	$41.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $92.79 / $163.25	Professional		$65.16	$92.79	$163.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $54.36 / $96.07	Professional	26	$40.29	$54.36	$96.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $37.25 / $69.59	Professional	TC	$23.58	$37.25	$69.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $190.77	Facility	26	$95.51	$95.51	$190.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $78.54 / $622.15	Professional		$58.24	$78.54	$622.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.18 / $48.80 / $262.07	Professional	26	$37.18	$48.80	$262.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.22 / $30.96 / $264.17	Professional	TC	$19.22	$30.96	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $73.26 / $141.44	Professional		$56.64	$73.26	$141.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $45.85 / $82.85	Professional	26	$36.29	$45.85	$82.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $30.09 / $56.92	Professional	TC	$19.20	$30.09	$56.92