Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $50.97 / $94.11	Professional		$35.65	$50.97	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $33.13 / $113.31	Professional	26	$23.40	$33.13	$113.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.26 / $19.60 / $36.54	Professional	TC	$12.26	$19.60	$36.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $63.86 / $63.86	Professional		$63.86	$63.86	$63.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.92 / $41.92 / $41.92	Professional	26	$41.92	$41.92	$41.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $39.52 / $44.46	Professional		$24.70	$39.52	$44.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $26.66 / $30.00	Professional	26	$16.67	$26.66	$30.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.03 / $12.86 / $14.46	Professional	TC	$8.03	$12.86	$14.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $45.38 / $70.78	Professional		$25.62	$45.38	$70.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $30.60 / $49.87	Professional	26	$16.52	$30.60	$49.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.86 / $13.89 / $26.35	Professional	TC	$7.86	$13.89	$26.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $165.02 / $165.02 / $165.02	Facility	26	$165.02	$165.02	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $52.06 / $353.10	Professional		$31.15	$52.06	$353.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.47 / $34.20 / $231.59	Professional	26	$20.47	$34.20	$231.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.68 / $16.60 / $121.51	Professional	TC	$10.68	$16.60	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $37.11 / $72.00	Professional		$31.15	$37.11	$72.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.47 / $23.82 / $53.60	Professional	26	$20.47	$23.82	$53.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $11.79 / $23.03	Professional	TC	$10.82	$11.79	$23.03