Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.59 / $60.33 / $100.73	Facility	26	$37.59	$60.33	$100.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $60.59 / $218.00	Professional		$43.79	$60.59	$218.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $28.82 / $108.98	Professional	26	$24.66	$28.82	$108.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $30.57 / $63.87	Professional	TC	$17.87	$30.57	$63.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $47.44 / $47.44	Professional		$41.86	$47.44	$47.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.58 / $41.58 / $41.58	Professional	26	$41.58	$41.58	$41.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $58.97 / $64.13	Professional		$44.23	$58.97	$64.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $24.82 / $27.00	Professional	26	$18.62	$24.82	$27.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $34.14 / $37.13	Professional	TC	$25.61	$34.14	$37.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $65.94 / $117.46	Professional		$44.43	$65.94	$117.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.10 / $34.96 / $59.52	Professional	26	$25.10	$34.96	$59.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.25 / $32.00 / $62.27	Professional	TC	$19.25	$32.00	$62.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $58.37 / $118.83	Facility	26	$58.37	$58.37	$118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $54.72 / $398.18	Professional		$39.27	$54.72	$398.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $30.35 / $160.04	Professional	26	$22.63	$30.35	$160.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.88 / $26.95 / $238.14	Professional	TC	$14.88	$26.95	$238.14
United Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $51.68 / $103.22	Professional		$37.20	$51.68	$103.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.50 / $28.42 / $50.93	Professional	26	$22.50	$28.42	$50.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.72 / $25.41 / $50.96	Professional	TC	$14.72	$25.41	$50.96