Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $112.20	Professional		$41.69	$57.54	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $165.96	Professional	26	$15.14	$19.05	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.02 / $67.61	Professional	TC	$26.30	$38.02	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.18 / $33.11	Professional	26	$28.18	$28.18	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $61.66	Professional		$43.65	$45.71	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.98 / $23.44	Professional	26	$16.22	$16.98	$23.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $28.18 / $38.90	Professional	TC	$27.54	$28.18	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $67.61 / $87.10	Professional		$33.11	$67.61	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $24.55 / $31.62	Professional	26	$11.22	$24.55	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $42.66 / $54.95	Professional	TC	$19.50	$42.66	$54.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $436.52	Professional		$36.31	$60.26	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.38 / $158.49	Professional	26	$12.88	$21.38	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.02 / $281.84	Professional	TC	$23.99	$38.02	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $93.33	Professional		$36.31	$44.67	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $34.67	Professional	26	$12.88	$16.60	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $58.88	Professional	TC	$23.99	$28.18	$58.88