Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $135.96 / $188.57	Professional		$73.78	$135.96	$188.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.90 / $47.18 / $61.82	Professional	26	$26.90	$47.18	$61.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.88 / $85.57 / $128.44	Professional	TC	$46.88	$85.57	$128.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $132.16 / $132.16	Professional		$132.16	$132.16	$132.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.18 / $48.18 / $48.18	Professional	26	$48.18	$48.18	$48.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $79.79 / $89.77	Professional		$49.87	$79.79	$89.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $30.60 / $34.43	Professional	26	$19.13	$30.60	$34.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.75 / $49.19 / $55.34	Professional	TC	$30.75	$49.19	$55.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $114.81 / $163.66	Professional		$59.66	$114.81	$163.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $42.73 / $63.04	Professional	26	$21.30	$42.73	$63.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.83 / $60.27 / $105.36	Professional	TC	$37.83	$60.27	$105.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $237.42 / $237.42 / $237.42	Facility	26	$237.42	$237.42	$237.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $129.19 / $881.27	Professional		$77.52	$129.19	$881.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $46.56 / $342.38	Professional	26	$27.94	$46.56	$342.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $82.64 / $549.40	Professional	TC	$49.58	$82.64	$549.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $93.69 / $158.75	Professional		$77.52	$93.69	$158.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.83 / $34.84 / $57.76	Professional	26	$25.83	$34.84	$57.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $59.11 / $106.48	Professional	TC	$49.58	$59.11	$106.48