Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $51.29 / $74.13	Facility	26	$26.92	$51.29	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $275.42	Professional		$50.12	$95.50	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $32.36 / $83.18	Professional	26	$16.60	$32.36	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $46.77 / $134.90	Professional	TC	$30.20	$46.77	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $83.18	Professional		$35.48	$47.86	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.38 / $31.62	Professional	26	$13.49	$17.38	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $104.71	Professional		$53.70	$60.26	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $23.99 / $41.69	Professional	26	$21.38	$23.99	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $35.48 / $61.66	Professional	TC	$31.62	$35.48	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.27 / $19.95 / $28.18	Facility	26	$4.27	$19.95	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $120.23	Professional		$53.70	$79.43	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $39.81	Professional	26	$17.78	$22.91	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $56.23 / $87.10	Professional	TC	$34.67	$56.23	$87.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $128.82 / $128.82	Facility	26	$41.69	$128.82	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $602.56	Professional		$48.98	$81.28	$602.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.44 / $457.09	Professional	26	$16.60	$23.44	$457.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $54.95 / $389.05	Professional	TC	$32.36	$54.95	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $112.20	Professional		$47.86	$66.07	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $20.42 / $32.36	Professional	26	$16.22	$20.42	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $79.43	Professional	TC	$30.90	$43.65	$79.43