Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $63.99 / $141.77	Professional		$50.94	$63.99	$141.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $24.20 / $48.80	Professional	26	$17.39	$24.20	$48.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $38.96 / $99.38	Professional	TC	$33.54	$38.96	$99.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $49.42 / $49.42	Professional		$49.42	$49.42	$49.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $55.01 / $61.88	Professional		$34.38	$55.01	$61.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $19.80 / $22.28	Professional	26	$12.38	$19.80	$22.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $35.20 / $39.60	Professional	TC	$22.00	$35.20	$39.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $46.75 / $96.22	Professional		$31.88	$46.75	$96.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $24.12 / $38.49	Professional	26	$12.95	$24.12	$38.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $22.81 / $59.32	Professional	TC	$17.14	$22.81	$59.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $67.34 / $424.65	Professional		$35.24	$67.34	$424.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $29.23 / $214.00	Professional	26	$16.14	$29.23	$214.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $39.77 / $272.93	Professional	TC	$19.89	$39.77	$272.93
United Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $45.34 / $89.74	Professional		$36.35	$45.34	$89.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $17.54 / $37.72	Professional	26	$16.14	$17.54	$37.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $27.92 / $44.46	Professional	TC	$19.89	$27.92	$44.46