Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.95 / $67.79 / $78.97	Facility	26	$36.95	$67.79	$78.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $128.19 / $260.94	Professional		$95.26	$128.19	$260.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $32.51 / $54.39	Professional	26	$26.20	$32.51	$54.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $99.53 / $209.42	Professional	TC	$65.98	$99.53	$209.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.40 / $47.40 / $62.61	Professional	26	$47.40	$47.40	$62.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $145.69 / $182.11	Professional		$109.27	$145.69	$182.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $35.51 / $44.39	Professional	26	$26.63	$35.51	$44.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.63 / $110.18 / $137.72	Professional	TC	$82.63	$110.18	$137.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.43 / $39.43 / $39.43	Facility	26	$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $220.40 / $348.20	Professional		$153.71	$220.40	$348.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.63 / $35.11 / $56.53	Professional	26	$24.63	$35.11	$56.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.10 / $186.27 / $295.95	Professional	TC	$125.10	$186.27	$295.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $82.93 / $160.47 / $160.47	Facility	26	$82.93	$160.47	$160.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $221.85 / $1,341.64	Professional		$148.41	$221.85	$1,341.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.08 / $34.83 / $375.24	Professional	26	$25.08	$34.83	$375.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $121.45 / $189.59 / $1,090.58	Professional	TC	$121.45	$189.59	$1,090.58
United Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $202.67 / $337.79	Professional		$142.80	$202.67	$337.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $31.85 / $53.87	Professional	26	$24.75	$31.85	$53.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.04 / $172.80 / $275.77	Professional	TC	$119.04	$172.80	$275.77