Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $194.12 / $534.28	Professional		$69.41	$194.12	$534.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $49.98 / $55.55	Professional	26	$20.65	$49.98	$55.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.76 / $133.33 / $204.02	Professional	TC	$48.76	$133.33	$204.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $124.32 / $124.32	Professional		$124.32	$124.32	$124.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $37.00 / $43.16	Professional	26	$37.00	$37.00	$43.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $74.66 / $83.99	Professional		$46.66	$74.66	$83.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $23.50 / $26.43	Professional	26	$14.69	$23.50	$26.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $51.16 / $57.56	Professional	TC	$31.98	$51.16	$57.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $120.18 / $240.37	Professional		$53.84	$120.18	$240.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $32.86 / $70.14	Professional	26	$16.14	$32.86	$70.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $87.37 / $174.73	Professional	TC	$36.31	$87.37	$174.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $256.47 / $256.47 / $256.47	Facility	26	$256.47	$256.47	$256.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $133.26 / $1,210.67	Professional		$68.93	$133.26	$1,210.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $35.93 / $360.79	Professional	26	$21.44	$35.93	$360.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $97.33 / $914.18	Professional	TC	$47.64	$97.33	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $115.13 / $158.47	Professional		$66.91	$115.13	$158.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $35.72 / $46.04	Professional	26	$21.34	$35.72	$46.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $82.00 / $122.33	Professional	TC	$47.64	$82.00	$122.33