Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.79 / $65.65 / $76.48	Facility	26	$35.79	$65.65	$76.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $185.77 / $341.21	Professional		$111.54	$185.77	$341.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $22.32 / $86.00	Professional	26	$18.76	$22.32	$86.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.45 / $166.96 / $246.17	Professional	TC	$90.45	$166.96	$246.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $102.42 / $106.89	Professional		$102.42	$102.42	$106.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $20.07 / $26.39	Professional	26	$20.07	$20.07	$26.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $123.14 / $153.93	Professional		$92.36	$123.14	$153.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $23.02 / $28.77	Professional	26	$17.26	$23.02	$28.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.09 / $100.13 / $125.16	Professional	TC	$75.09	$100.13	$125.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $176.46 / $279.14	Professional		$121.69	$176.46	$279.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $26.81 / $53.80	Professional	26	$19.57	$26.81	$53.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.15 / $145.44 / $238.28	Professional	TC	$98.15	$145.44	$238.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $174.32 / $174.32	Facility	26	$53.90	$174.32	$174.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $181.60 / $1,035.17	Professional		$120.12	$181.60	$1,035.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $26.79 / $303.79	Professional	26	$19.76	$26.79	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $96.36 / $154.84 / $922.24	Professional	TC	$96.36	$154.84	$922.24
United Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $163.74 / $272.39	Professional		$113.08	$163.74	$272.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $25.92 / $45.77	Professional	26	$19.47	$25.92	$45.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.88 / $139.80 / $225.61	Professional	TC	$91.88	$139.80	$225.61