Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.72 / $132.78 / $221.67	Facility	26	$82.72	$132.78	$221.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $105.15 / $398.00	Professional		$83.62	$105.15	$398.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.70 / $66.69 / $251.00	Professional	26	$55.70	$66.69	$251.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $38.60 / $78.37	Professional	TC	$26.89	$38.60	$78.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $96.47 / $128.63	Professional		$73.50	$96.47	$128.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.19 / $92.19 / $92.19	Professional	26	$92.19	$92.19	$92.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $96.88 / $105.36	Professional		$72.66	$96.88	$105.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $55.03 / $59.85	Professional	26	$41.27	$55.03	$59.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.39 / $41.85 / $45.51	Professional	TC	$31.39	$41.85	$45.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $114.11 / $205.56	Professional		$81.70	$114.11	$205.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.89 / $71.54 / $130.22	Professional	26	$53.89	$71.54	$130.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.34 / $42.24 / $76.30	Professional	TC	$26.34	$42.24	$76.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $129.41 / $248.27	Facility	26	$129.41	$129.41	$248.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $96.20 / $746.58	Professional		$74.88	$96.20	$746.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $63.08 / $352.29	Professional	26	$50.40	$63.08	$352.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.07 / $34.15 / $288.04	Professional	TC	$22.07	$34.15	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $93.48 / $176.55	Professional		$73.59	$93.48	$176.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $59.76 / $110.16	Professional	26	$48.90	$59.76	$110.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $33.82 / $65.79	Professional	TC	$22.01	$33.82	$65.79