Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $83.16 / $798.41	Professional		$70.70	$83.16	$798.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.27 / $22.79 / $226.66	Professional	26	$21.27	$22.79	$226.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.91 / $61.89 / $571.69	Professional	TC	$47.91	$61.89	$571.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $148.94 / $148.94	Professional		$148.94	$148.94	$148.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $86.96 / $97.83	Professional		$54.35	$86.96	$97.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $22.02 / $24.77	Professional	26	$13.76	$22.02	$24.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.59 / $64.94 / $73.06	Professional	TC	$40.59	$64.94	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $69.28 / $125.57	Professional		$42.33	$69.28	$125.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $23.84 / $41.63	Professional	26	$14.57	$23.84	$41.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.77 / $48.13 / $91.79	Professional	TC	$27.77	$48.13	$91.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	26	$149.85	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $78.06 / $730.19	Professional		$44.58	$78.06	$730.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $26.53 / $200.25	Professional	26	$15.15	$26.53	$200.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.43 / $57.52 / $531.07	Professional	TC	$29.43	$57.52	$531.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $74.01 / $145.35	Professional		$44.41	$74.01	$145.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $20.35 / $37.31	Professional	26	$15.15	$20.35	$37.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.43 / $53.12 / $90.92	Professional	TC	$29.43	$53.12	$90.92