Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $142.85 / $301.02	Professional		$109.21	$142.85	$301.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.22 / $63.60 / $276.00	Professional	26	$47.22	$63.60	$276.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $71.73 / $179.77	Professional	TC	$61.86	$71.73	$179.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $152.56 / $195.59	Professional		$77.98	$152.56	$195.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.73 / $77.70 / $90.65	Professional	26	$31.73	$77.70	$90.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $118.48 / $133.29	Professional		$74.05	$118.48	$133.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.89 / $49.42 / $55.59	Professional	26	$30.89	$49.42	$55.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.17 / $69.06 / $77.70	Professional	TC	$43.17	$69.06	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $96.00 / $213.05	Professional		$71.05	$96.00	$213.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $59.47 / $94.22	Professional	26	$32.31	$59.47	$94.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.70 / $49.93 / $114.45	Professional	TC	$34.70	$49.93	$114.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $162.99 / $256.63	Facility		$109.21	$162.99	$256.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $305.79 / $305.79 / $305.79	Facility	26	$305.79	$305.79	$305.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $152.38 / $1,961.76	Professional		$78.98	$152.38	$1,961.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $73.98 / $434.05	Professional	26	$39.79	$73.98	$434.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $79.34 / $557.54	Professional	TC	$38.65	$79.34	$557.54
United Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $99.75 / $173.09	Professional		$78.98	$99.75	$173.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $44.39 / $85.75	Professional	26	$39.79	$44.39	$85.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $56.53 / $91.71	Professional	TC	$38.65	$56.53	$91.71