Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.90 / $44.90 / $44.90	Facility	26	$44.90	$44.90	$44.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $103.53 / $523.15	Professional		$79.93	$103.53	$523.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.89 / $44.90 / $103.22	Professional	26	$39.89	$44.90	$103.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $47.35 / $85.15	Professional	TC	$39.92	$47.35	$85.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $88.88 / $141.30	Professional		$84.44	$88.88	$141.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $54.29 / $70.16	Professional	26	$42.52	$54.29	$70.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $166.65 / $166.65 / $166.65	Professional	50	$166.65	$166.65	$166.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $76.81 / $101.21	Professional		$64.33	$76.81	$101.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.38 / $36.50 / $45.63	Professional	26	$27.38	$36.50	$45.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.23 / $40.29 / $50.38	Professional	TC	$30.23	$40.29	$50.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.51 / $50.51 / $50.51	Facility	26	$50.51	$50.51	$50.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $115.50 / $203.14	Professional		$81.99	$115.50	$203.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.91 / $62.94 / $101.29	Professional	26	$43.91	$62.94	$101.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.51 / $61.69 / $106.13	Professional	TC	$42.51	$61.69	$106.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.27 / $201.33 / $201.33	Facility	26	$103.27	$201.33	$201.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $105.37 / $641.76	Professional		$82.24	$105.37	$641.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.92 / $54.21 / $283.72	Professional	26	$40.92	$54.21	$283.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $51.84 / $358.05	Professional	TC	$38.97	$51.84	$358.05
United Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $95.09 / $186.08	Professional		$81.52	$95.09	$186.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.86 / $50.04 / $94.09	Professional	26	$40.86	$50.04	$94.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.93 / $48.96 / $95.30	Professional	TC	$38.93	$48.96	$95.30