Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $88.27 / $165.44	Professional		$69.45	$88.27	$165.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $61.16 / $438.08	Professional	26	$49.06	$61.16	$438.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $32.97 / $70.43	Professional	TC	$28.00	$32.97	$70.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.41 / $69.18 / $80.70	Professional	26	$42.41	$69.18	$80.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $28.83 / $28.83	Professional	TC	$28.83	$28.83	$28.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $71.04 / $79.92	Professional		$44.40	$71.04	$79.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $44.02 / $49.52	Professional	26	$27.51	$44.02	$49.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $27.02 / $30.40	Professional	TC	$16.89	$27.02	$30.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $85.92 / $128.97	Professional		$46.48	$85.92	$128.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $58.49 / $89.05	Professional	26	$28.89	$58.49	$89.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.86 / $23.97 / $52.27	Professional	TC	$14.86	$23.97	$52.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $102.87 / $168.17	Facility		$77.26	$102.87	$168.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $272.47 / $272.47 / $272.47	Facility	26	$272.47	$272.47	$272.47
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $184.67 / $184.67 / $184.67	Facility	TC	$184.67	$184.67	$184.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $97.28 / $643.49	Professional		$52.08	$97.28	$643.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $65.31 / $383.71	Professional	26	$34.93	$65.31	$383.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $32.50 / $350.03	Professional	TC	$17.48	$32.50	$350.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $62.31 / $125.10	Professional		$53.23	$62.31	$125.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $39.19 / $81.45	Professional	26	$34.93	$39.19	$81.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.01 / $48.17	Professional	TC	$17.28	$21.01	$48.17