Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $121.57 / $404.36	Professional		$82.90	$121.57	$404.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $48.70 / $213.31	Professional	26	$30.95	$48.70	$213.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.86 / $73.48 / $304.27	Professional	TC	$54.86	$73.48	$304.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $101.88 / $135.84	Professional		$73.58	$101.88	$135.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $32.72 / $53.89	Professional	26	$18.89	$32.72	$53.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $48.56 / $48.56 / $56.03	Professional	TC	$48.56	$48.56	$56.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $81.89 / $92.12	Professional		$51.18	$81.89	$92.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $30.47 / $41.85	Professional	26	$18.36	$30.47	$41.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.83 / $52.52 / $59.09	Professional	TC	$32.83	$52.52	$59.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $107.55 / $164.91	Professional		$57.72	$107.55	$164.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $40.81 / $65.20	Professional	26	$19.84	$40.81	$65.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.28 / $50.04 / $109.45	Professional	TC	$33.28	$50.04	$109.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $125.93 / $215.63	Facility		$83.42	$125.93	$215.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $221.64 / $221.64 / $221.64	Facility	26	$221.64	$221.64	$221.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $110.28 / $764.45	Professional		$69.29	$110.28	$764.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $44.03 / $310.87	Professional	26	$26.42	$44.03	$310.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.95 / $66.70 / $507.20	Professional	TC	$38.95	$66.70	$507.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $76.44 / $148.47	Professional		$69.29	$76.44	$148.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $32.31 / $54.91	Professional	26	$26.42	$32.31	$54.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.95 / $50.02 / $91.71	Professional	TC	$38.95	$50.02	$91.71