Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $130.99 / $191.19	Professional		$76.20	$130.99	$191.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.17 / $76.75 / $134.87	Professional	26	$58.17	$76.75	$134.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $53.71 / $78.67	Professional	TC	$18.98	$53.71	$78.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $99.32 / $99.32 / $99.32	Professional	26	$99.32	$99.32	$99.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $83.06 / $93.45	Professional		$51.92	$83.06	$93.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.46 / $63.14 / $71.03	Professional	26	$39.46	$63.14	$71.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.46 / $19.93 / $22.42	Professional	TC	$12.46	$19.93	$22.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $109.25 / $158.72	Professional		$56.71	$109.25	$158.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.83 / $80.34 / $116.49	Professional	26	$40.83	$80.34	$116.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.16 / $27.14 / $55.67	Professional	TC	$14.16	$27.14	$55.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $390.55 / $390.55 / $390.55	Facility	26	$390.55	$390.55	$390.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $117.65 / $745.14	Professional		$70.59	$117.65	$745.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.57 / $87.58 / $538.00	Professional	26	$49.57	$87.58	$538.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $33.76 / $340.13	Professional	TC	$16.02	$33.76	$340.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $84.83 / $146.69	Professional		$70.59	$84.83	$146.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.57 / $54.57 / $118.03	Professional	26	$49.57	$54.57	$118.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $29.37 / $54.00	Professional	TC	$16.02	$29.37	$54.00