Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $38.56 / $93.85	Professional		$34.92	$38.56	$93.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $27.07 / $217.85	Professional	26	$20.62	$27.07	$217.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.73 / $22.84	Professional	TC	$10.11	$12.73	$22.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $34.21 / $39.90	Professional	26	$34.21	$34.21	$39.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $38.36 / $43.16	Professional		$23.98	$38.36	$43.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $21.77 / $24.49	Professional	26	$13.61	$21.77	$24.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.38 / $16.60 / $18.68	Professional	TC	$10.38	$16.60	$18.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $40.40 / $66.09	Professional		$21.28	$40.40	$66.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $29.08 / $44.81	Professional	26	$14.28	$29.08	$44.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $11.33 / $25.32	Professional	TC	$5.50	$11.33	$25.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $56.87 / $79.36	Facility		$41.15	$56.87	$79.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.74 / $134.74 / $134.74	Facility	26	$134.74	$134.74	$134.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $51.13 / $342.09	Professional		$23.80	$51.13	$342.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $32.47 / $250.96	Professional	26	$17.28	$32.47	$250.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.19 / $21.25 / $250.96	Professional	TC	$6.19	$21.25	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $33.35 / $61.14	Professional		$23.80	$33.35	$61.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $19.48 / $40.72	Professional	26	$17.28	$19.48	$40.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.19 / $13.86 / $25.41	Professional	TC	$6.19	$13.86	$25.41