Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $118.33 / $258.89	Professional		$106.06	$118.33	$258.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.49 / $36.77 / $115.95	Professional	26	$25.49	$36.77	$115.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.64 / $83.35 / $124.28	Professional	TC	$70.64	$83.35	$124.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $23.34 / $43.09	Professional	26	$17.60	$23.34	$43.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.00 / $83.00 / $83.00	Professional	TC	$83.00	$83.00	$83.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $114.68 / $129.02	Professional		$71.68	$114.68	$129.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.57 / $24.91 / $28.03	Professional	26	$15.57	$24.91	$28.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.11 / $89.77 / $100.99	Professional	TC	$56.11	$89.77	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $122.13 / $179.36	Professional		$67.17	$122.13	$179.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $37.86 / $51.28	Professional	26	$18.05	$37.86	$51.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.90 / $71.84 / $139.68	Professional	TC	$43.90	$71.84	$139.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.57 / $178.04 / $324.95	Facility		$120.57	$178.04	$324.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $213.67 / $213.67 / $213.67	Facility	26	$213.67	$213.67	$213.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $123.92 / $1,081.50	Professional		$70.76	$123.92	$1,081.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $38.38 / $235.79	Professional	26	$22.87	$38.38	$235.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.53 / $86.98 / $845.71	Professional	TC	$46.53	$86.98	$845.71
United Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $105.24 / $218.71	Professional		$70.76	$105.24	$218.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $25.47 / $49.95	Professional	26	$22.87	$25.47	$49.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.53 / $81.20 / $148.87	Professional	TC	$46.53	$81.20	$148.87