Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $60.72 / $80.29	Professional		$49.25	$60.72	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $35.54 / $44.41	Professional	26	$26.35	$35.54	$44.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $25.82 / $34.90	Professional	TC	$19.04	$25.82	$34.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $60.72 / $61.33	Professional		$48.58	$60.72	$61.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $51.35 / $64.38	Professional		$51.35	$51.35	$64.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.36 / $29.36 / $35.06	Professional	26	$29.36	$29.36	$35.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $21.99 / $26.26	Professional	TC	$21.99	$21.99	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $57.88 / $99.57	Professional		$49.55	$57.88	$99.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.66 / $34.61 / $58.36	Professional	26	$29.66	$34.61	$58.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.98 / $41.21	Professional	TC	$18.55	$23.98	$41.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $84.68 / $165.02 / $165.02	Facility	26	$84.68	$165.02	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $59.07 / $396.08	Professional		$49.17	$59.07	$396.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.04 / $36.49 / $347.34	Professional	26	$31.04	$36.49	$347.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $23.68 / $166.53	Professional	TC	$17.60	$23.68	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $55.80 / $91.98	Professional		$48.65	$55.80	$91.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.26 / $34.24 / $57.20	Professional	26	$30.26	$34.24	$57.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $23.04 / $35.99	Professional	TC	$17.50	$23.04	$35.99