Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.85 / $65.76 / $76.61	Facility	26	$35.85	$65.76	$76.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $223.06 / $620.10	Professional		$144.51	$223.06	$620.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $25.76 / $63.88	Professional	26	$21.39	$25.76	$63.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.11 / $199.64 / $446.55	Professional	TC	$123.11	$199.64	$446.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $135.47 / $210.74	Professional		$135.47	$135.47	$210.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $17.82 / $17.82	Professional	26	$17.82	$17.82	$17.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $159.63 / $199.54	Professional		$119.72	$159.63	$199.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $23.35 / $29.19	Professional	26	$17.51	$23.35	$29.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.21 / $136.28 / $170.35	Professional	TC	$102.21	$136.28	$170.35
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 $154.29 / $226.50 / $354.77	Professional		$154.29	$226.50	$354.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $29.82 / $53.26	Professional	26	$23.17	$29.82	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.71 / $201.64 / $307.76	Professional	TC	$130.71	$201.64	$307.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $54.52 / $236.27 / $236.27	Facility	26	$54.52	$236.27	$236.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $234.95 / $1,431.47	Professional		$152.46	$234.95	$1,431.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $29.20 / $293.89	Professional	26	$22.01	$29.20	$293.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $129.36 / $206.72 / $1,288.22	Professional	TC	$129.36	$206.72	$1,288.22
United Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $213.50 / $361.95	Professional		$150.06	$213.50	$361.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $26.40 / $46.33	Professional	26	$21.70	$26.40	$46.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.90 / $184.96 / $302.85	Professional	TC	$126.90	$184.96	$302.85