Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $49.07 / $92.55	Professional		$37.04	$49.07	$92.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.86 / $27.73 / $54.32	Professional	26	$23.86	$27.73	$54.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.92 / $21.35 / $40.27	Professional	TC	$13.92	$21.35	$40.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $30.78 / $64.54	Professional		$25.93	$30.78	$64.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.16 / $28.05 / $39.60	Professional	26	$16.16	$28.05	$39.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $15.59 / $15.59	Professional	TC	$15.59	$15.59	$15.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $39.79 / $44.78	Professional		$24.88	$39.79	$44.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.75 / $25.19 / $28.34	Professional	26	$15.75	$25.19	$28.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.13 / $14.61 / $16.43	Professional	TC	$9.13	$14.61	$16.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.19 / $72.00	Professional		$26.00	$45.19	$72.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.99 / $29.07 / $51.05	Professional	26	$15.99	$29.07	$51.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.94 / $14.92 / $27.37	Professional	TC	$8.94	$14.92	$27.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $55.83 / $473.28	Professional		$30.47	$55.83	$473.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $35.94 / $346.00	Professional	26	$17.51	$35.94	$346.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $19.48 / $330.22	Professional	TC	$11.69	$19.48	$330.22
United Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $34.21 / $65.66	Professional		$31.16	$34.21	$65.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $22.52 / $41.28	Professional	26	$17.51	$22.52	$41.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.64 / $13.41 / $25.11	Professional	TC	$11.64	$13.41	$25.11