Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $111.33 / $395.00	Professional		$85.20	$111.33	$395.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $26.58 / $111.86	Professional	26	$19.85	$26.58	$111.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.18 / $83.35 / $148.97	Professional	TC	$57.18	$83.35	$148.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $68.88 / $127.16	Professional		$58.27	$68.88	$127.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $19.73 / $34.54	Professional	26	$12.09	$19.73	$34.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $52.84 / $73.16	Professional	TC	$52.84	$52.84	$73.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $78.83 / $118.37	Professional		$47.49	$78.83	$118.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $19.54 / $26.84	Professional	26	$11.77	$19.54	$26.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $57.15 / $64.30	Professional	TC	$35.72	$57.15	$64.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $80.92 / $143.09	Professional		$41.91	$80.92	$143.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $25.72 / $36.00	Professional	26	$12.38	$25.72	$36.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.93 / $49.25 / $110.07	Professional	TC	$32.93	$49.25	$110.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.63 / $105.97 / $166.97	Facility		$61.63	$105.97	$166.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $116.58 / $116.58 / $116.58	Facility	26	$116.58	$116.58	$116.58
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $390.55 / $390.55 / $390.55	Facility	TC	$390.55	$390.55	$390.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $98.62 / $715.47	Professional		$56.16	$98.62	$715.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.46 / $27.46 / $162.69	Professional	26	$15.46	$27.46	$162.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.64 / $72.04 / $552.78	Professional	TC	$40.64	$72.04	$552.78
United Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $64.31 / $144.71	Professional		$54.80	$64.31	$144.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.46 / $16.67 / $34.65	Professional	26	$15.46	$16.67	$34.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.64 / $51.03 / $87.34	Professional	TC	$40.64	$51.03	$87.34