Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.57 / $49.07 / $81.92	Facility	26	$30.57	$49.07	$81.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $56.11 / $185.00	Professional		$39.60	$56.11	$185.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $22.24 / $93.00	Professional	26	$18.85	$22.24	$93.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $32.72 / $66.39	Professional	TC	$18.23	$32.72	$66.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $73.67	Professional		$49.99	$49.99	$73.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.46 / $13.46 / $24.04	Professional	26	$13.46	$13.46	$24.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $55.64 / $60.51	Professional		$41.73	$55.64	$60.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $20.14 / $21.92	Professional	26	$15.11	$20.14	$21.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $35.49 / $38.59	Professional	TC	$26.62	$35.49	$38.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $60.61 / $109.67	Professional		$42.65	$60.61	$109.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $27.80 / $48.38	Professional	26	$20.30	$27.80	$48.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $32.14 / $64.70	Professional	TC	$19.62	$32.14	$64.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $47.70 / $97.62	Facility	26	$47.70	$47.70	$97.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $50.04 / $378.70	Professional		$34.72	$50.04	$378.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $24.79 / $130.11	Professional	26	$18.44	$24.79	$130.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.96 / $27.65 / $242.47	Professional	TC	$14.96	$27.65	$242.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $48.33 / $92.23	Professional		$34.72	$48.33	$92.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $22.80 / $40.79	Professional	26	$18.30	$22.80	$40.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.88 / $25.65 / $52.28	Professional	TC	$14.88	$25.65	$52.28