Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $100.92 / $244.64	Professional		$91.82	$100.92	$244.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $37.99 / $54.55	Professional	26	$24.10	$37.99	$54.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.92 / $70.23 / $190.10	Professional	TC	$62.92	$70.23	$190.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $164.45 / $164.45	Professional		$164.45	$164.45	$164.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.03 / $40.03 / $46.70	Professional	26	$40.03	$40.03	$46.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $98.34 / $110.63	Professional		$61.46	$98.34	$110.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.91 / $25.45 / $28.63	Professional	26	$15.91	$25.45	$28.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.56 / $72.89 / $82.00	Professional	TC	$45.56	$72.89	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $81.36 / $161.88	Professional		$52.44	$81.36	$161.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.93 / $36.57 / $54.34	Professional	26	$16.93	$36.57	$54.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $51.69 / $119.55	Professional	TC	$28.37	$51.69	$119.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.52 / $173.52 / $173.52	Facility	26	$173.52	$173.52	$173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $118.20 / $973.09	Professional		$57.99	$118.20	$973.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $37.53 / $236.03	Professional	26	$22.52	$37.53	$236.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $72.76 / $750.23	Professional	TC	$33.43	$72.76	$750.23
United Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $84.03 / $145.85	Professional		$59.08	$84.03	$145.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $25.79 / $52.92	Professional	26	$21.15	$25.79	$52.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $54.57 / $129.87	Professional	TC	$33.43	$54.57	$129.87