Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $82.95 / $215.16	Professional		$53.79	$82.95	$215.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $95.55 / $346.80	Professional	26	$25.93	$95.55	$346.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.46 / $58.92 / $388.08	Professional	TC	$29.46	$58.92	$388.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $43.14 / $44.67	Professional		$43.14	$43.14	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $12.79 / $16.18	Professional	26	$12.79	$12.79	$16.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.33 / $30.33 / $30.33	Professional	TC	$30.33	$30.33	$30.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $82.65 / $117.27	Professional		$27.65	$82.65	$117.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $44.60 / $162.72	Professional		$28.52	$44.60	$162.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $14.75 / $45.38	Professional	26	$9.90	$14.75	$45.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $29.85 / $117.33	Professional	TC	$18.63	$29.85	$117.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.11 / $103.90 / $123.60	Facility		$60.11	$103.90	$123.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $103.35 / $559.76	Professional		$50.24	$103.35	$559.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $29.59 / $173.52	Professional	26	$17.19	$29.59	$173.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $71.06 / $386.24	Professional	TC	$29.11	$71.06	$386.24
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $94.19 / $175.99	Professional		$42.98	$94.19	$175.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $17.95 / $44.39	Professional	26	$17.19	$17.95	$44.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $43.54 / $103.21	Professional	TC	$29.11	$43.54	$103.21