Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $81.54 / $448.43	Professional		$61.34	$81.54	$448.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $24.83 / $305.18	Professional	26	$18.98	$24.83	$305.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $49.59 / $223.20	Professional	TC	$42.00	$49.59	$223.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $59.51 / $82.40	Professional		$45.78	$59.51	$82.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $17.07 / $31.52	Professional	26	$13.38	$17.07	$31.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.43 / $42.43 / $48.96	Professional	TC	$42.43	$42.43	$48.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $66.53 / $92.22	Professional		$40.08	$66.53	$92.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $18.92 / $28.61	Professional	26	$11.40	$18.92	$28.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.69 / $47.62 / $65.40	Professional	TC	$28.69	$47.62	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $70.56 / $115.32	Professional		$38.81	$70.56	$115.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $22.23 / $37.40	Professional	26	$12.67	$22.23	$37.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.13 / $47.52 / $80.59	Professional	TC	$26.13	$47.52	$80.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $95.83 / $167.10	Facility		$67.47	$95.83	$167.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.11 / $124.11 / $124.11	Facility	26	$124.11	$124.11	$124.11
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $313.37 / $313.37 / $313.37	Facility	TC	$313.37	$313.37	$313.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $73.73 / $559.76	Professional		$40.90	$73.73	$559.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $29.59 / $173.52	Professional	26	$13.49	$29.59	$173.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $51.68 / $386.24	Professional	TC	$27.70	$51.68	$386.24
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $56.51 / $132.22	Professional		$40.90	$56.51	$132.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $17.75 / $38.13	Professional	26	$13.16	$17.75	$38.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $38.76 / $80.55	Professional	TC	$27.70	$38.76	$80.55