Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.96 / $64.14 / $74.72	Facility	26	$34.96	$64.14	$74.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $125.64 / $485.25	Professional		$109.93	$125.64	$485.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $21.27 / $116.25	Professional	26	$14.49	$21.27	$116.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.15 / $105.31 / $210.63	Professional	TC	$90.15	$105.31	$210.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $98.26 / $115.60	Professional		$90.62	$98.26	$115.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $21.69 / $42.24	Professional	26	$17.32	$21.69	$42.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $122.51 / $153.13	Professional		$91.88	$122.51	$153.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $22.73 / $28.41	Professional	26	$17.05	$22.73	$28.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.84 / $99.78 / $124.73	Professional	TC	$74.84	$99.78	$124.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $172.88 / $274.87	Professional		$121.15	$172.88	$274.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $23.95 / $53.26	Professional	26	$15.80	$23.95	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.48 / $147.07 / $227.90	Professional	TC	$98.48	$147.07	$227.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $102.96 / $102.96	Facility	26	$53.56	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $176.65 / $1,021.59	Professional		$120.10	$176.65	$1,021.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $25.56 / $203.09	Professional	26	$15.20	$25.56	$203.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.02 / $155.41 / $934.78	Professional	TC	$97.02	$155.41	$934.78
United Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $160.16 / $270.94	Professional		$112.84	$160.16	$270.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.85 / $23.71 / $45.45	Professional	26	$14.85	$23.71	$45.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.08 / $142.44 / $227.15	Professional	TC	$94.08	$142.44	$227.15