Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $90.59 / $153.16	Professional		$58.26	$90.59	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.46 / $61.07 / $191.66	Professional	26	$41.46	$61.07	$191.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $36.14 / $58.83	Professional	TC	$22.44	$36.14	$58.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $104.34 / $104.34	Professional		$104.34	$104.34	$104.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $68.81 / $68.81	Professional	26	$68.81	$68.81	$68.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $64.59 / $72.67	Professional		$40.36	$64.59	$72.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.36 / $43.78 / $49.25	Professional	26	$27.36	$43.78	$49.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $20.82 / $23.42	Professional	TC	$13.01	$20.82	$23.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $86.39 / $116.75	Professional		$41.92	$86.39	$116.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.21 / $52.66 / $82.16	Professional	26	$28.21	$52.66	$82.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.24 / $22.66 / $43.56	Professional	TC	$12.24	$22.66	$43.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $270.97 / $270.97 / $270.97	Facility	26	$270.97	$270.97	$270.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $88.92 / $587.10	Professional		$53.21	$88.92	$587.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $60.09 / $381.48	Professional	26	$35.24	$60.09	$381.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $26.71 / $205.55	Professional	TC	$16.03	$26.71	$205.55
United Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $62.76 / $118.58	Professional		$53.21	$62.76	$118.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $39.19 / $75.95	Professional	26	$35.24	$39.19	$75.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $22.26 / $34.40	Professional	TC	$16.03	$22.26	$34.40