Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $75.00 / $117.93	Professional		$44.56	$75.00	$117.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $25.12 / $91.84	Professional	26	$15.05	$25.12	$91.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.61 / $50.20 / $83.76	Professional	TC	$30.61	$50.20	$83.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $49.88 / $49.88	Professional		$49.88	$49.88	$49.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $11.39 / $24.98	Professional	26	$10.18	$11.39	$24.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.27 / $34.27 / $34.27	Professional	TC	$34.27	$34.27	$34.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $48.01 / $54.01	Professional		$30.01	$48.01	$54.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $15.89 / $17.87	Professional	26	$9.93	$15.89	$17.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $32.11 / $36.14	Professional	TC	$20.07	$32.11	$36.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $48.08 / $92.00	Professional		$32.59	$48.08	$92.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $21.31 / $35.47	Professional	26	$10.48	$21.31	$35.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $24.45 / $59.44	Professional	TC	$18.19	$24.45	$59.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $73.80 / $132.66	Facility		$53.47	$73.80	$132.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $113.52 / $113.52	Facility	26	$113.52	$113.52	$113.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $63.16 / $407.64	Professional		$37.90	$63.16	$407.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $23.46 / $244.00	Professional	26	$13.22	$23.46	$244.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $39.70 / $268.50	Professional	TC	$23.82	$39.70	$268.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $43.36 / $81.38	Professional		$37.90	$43.36	$81.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $16.45 / $29.25	Professional	26	$12.98	$16.45	$29.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $31.76 / $56.84	Professional	TC	$23.82	$31.76	$56.84