Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.07 / $86.78 / $144.88	Facility	26	$54.07	$86.78	$144.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $73.13 / $306.00	Professional		$65.95	$73.13	$306.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.04 / $44.39 / $158.25	Professional	26	$36.04	$44.39	$158.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $32.72 / $66.39	Professional	TC	$22.57	$32.72	$66.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $84.14 / $94.23	Professional		$84.14	$84.14	$94.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $23.74 / $42.40	Professional	26	$23.74	$23.74	$42.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $71.04 / $77.26	Professional		$53.28	$71.04	$77.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $35.54 / $38.65	Professional	26	$26.66	$35.54	$38.65
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 $60.08 / $84.12 / $149.59	Professional		$60.08	$84.12	$149.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $50.21 / $88.33	Professional	26	$35.61	$50.21	$88.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $35.03 / $64.70	Professional	TC	$22.18	$35.03	$64.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $83.68 / $176.34	Facility	26	$83.68	$83.68	$176.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $71.76 / $568.04	Professional		$57.97	$71.76	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.31 / $45.98 / $234.92	Professional	26	$35.31	$45.98	$234.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $28.80 / $244.63	Professional	TC	$18.60	$28.80	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $68.08 / $126.99	Professional		$57.97	$68.08	$126.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.24 / $43.56 / $75.02	Professional	26	$34.24	$43.56	$75.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $27.08 / $51.96	Professional	TC	$17.39	$27.08	$51.96