Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $53.35 / $63.66	Professional		$41.91	$53.35	$63.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $18.89 / $22.57	Professional	26	$15.74	$18.89	$22.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $35.22 / $41.10	Professional	TC	$26.18	$35.22	$41.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Professional		$75.06	$75.06	$75.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $28.19 / $32.89	Professional	26	$28.19	$28.19	$32.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $43.73 / $49.19	Professional		$27.33	$43.73	$49.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $16.26 / $18.30	Professional	26	$10.17	$16.26	$18.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.17 / $27.46 / $30.90	Professional	TC	$17.17	$27.46	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $56.82 / $86.22	Professional		$33.04	$56.82	$86.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.07 / $31.85	Professional	26	$10.96	$20.07	$31.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $36.63 / $59.01	Professional	TC	$19.48	$36.63	$59.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	26	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $64.05 / $438.19	Professional		$36.57	$64.05	$438.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $22.24 / $158.25	Professional	26	$12.77	$22.24	$158.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $39.60 / $279.94	Professional	TC	$23.80	$39.60	$279.94
United Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $45.04 / $93.60	Professional		$36.57	$45.04	$93.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $16.67 / $30.57	Professional	26	$12.77	$16.67	$30.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $28.37 / $53.90	Professional	TC	$23.80	$28.37	$53.90