Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $73.39 / $319.75	Professional		$69.34	$73.39	$319.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.46 / $26.25 / $215.44	Professional	26	$19.46	$26.25	$215.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.10 / $52.17 / $142.84	Professional	TC	$43.10	$52.17	$142.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $125.75 / $125.75	Professional		$125.75	$125.75	$125.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.32 / $32.32 / $37.70	Professional	26	$32.32	$32.32	$37.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $73.42 / $82.59	Professional		$45.89	$73.42	$82.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $18.68 / $21.02	Professional	26	$11.68	$18.68	$21.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.21 / $54.74 / $61.58	Professional	TC	$34.21	$54.74	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $67.98 / $119.60	Professional		$41.54	$67.98	$119.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $27.06 / $38.20	Professional	26	$13.41	$27.06	$38.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $45.30 / $90.08	Professional	TC	$21.59	$45.30	$90.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.16 / $127.16 / $127.16	Facility	26	$127.16	$127.16	$127.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $75.34 / $750.04	Professional		$43.71	$75.34	$750.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.78 / $28.80 / $179.95	Professional	26	$16.78	$28.80	$179.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $51.52 / $570.15	Professional	TC	$26.40	$51.52	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $68.30 / $121.36	Professional		$43.42	$68.30	$121.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $18.19 / $38.43	Professional	26	$16.34	$18.19	$38.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $43.92 / $79.64	Professional	TC	$26.21	$43.92	$79.64