Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.53 / $37.02 / $56.93	Facility	26	$27.53	$37.02	$56.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.41 / $178.13 / $267.98	Professional		$171.41	$178.13	$267.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $36.61 / $56.93	Professional	26	$31.53	$36.61	$56.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.15 / $142.59 / $200.08	Professional	TC	$135.15	$142.59	$200.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $186.42 / $197.48	Professional		$186.42	$186.42	$197.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $34.95 / $196.00	Professional	26	$27.96	$34.95	$196.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $217.48 / $217.48 / $217.48	Professional	TC	$217.48	$217.48	$217.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $183.40 / $251.83	Professional		$39.45	$183.40	$251.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.08 / $38.08 / $44.69	Facility	26	$38.08	$38.08	$44.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $247.83 / $338.88	Professional		$190.90	$247.83	$338.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.42 / $43.59 / $62.42	Professional	26	$32.42	$43.59	$62.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.36 / $208.12 / $295.29	Professional	TC	$150.36	$208.12	$295.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.82 / $210.00 / $210.00	Facility	26	$87.82	$210.00	$210.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.29 / $248.97 / $1,582.03	Professional		$180.29	$248.97	$1,582.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.61 / $42.82 / $422.69	Professional	26	$32.61	$42.82	$422.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.61 / $245.29 / $1,414.75	Professional	TC	$141.61	$245.29	$1,414.75
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $225.96 / $372.35	Professional		$173.02	$225.96	$372.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.64 / $40.78 / $73.11	Professional	26	$30.64	$40.78	$73.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.35 / $182.18 / $315.77	Professional	TC	$138.35	$182.18	$315.77