Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $72.44	Professional		$47.86	$60.26	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $47.86	Professional	26	$25.70	$34.67	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $34.67	Professional	TC	$19.05	$23.99	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $61.66	Professional		$43.65	$53.70	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $64.57	Professional		$45.71	$57.54	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $33.11 / $37.15	Professional	26	$26.30	$33.11	$37.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $24.55 / $28.18	Professional	TC	$19.50	$24.55	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $120.23	Professional		$48.98	$60.26	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $70.79	Professional	26	$28.84	$36.31	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.12 / $50.12	Professional	TC	$18.62	$25.12	$50.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $165.96 / $165.96	Facility	26	$85.11	$165.96	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $398.11	Professional		$48.98	$63.10	$398.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.02 / $346.74	Professional	26	$30.20	$38.02	$346.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.12 / $165.96	Professional	TC	$17.78	$25.12	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $91.20	Professional		$46.77	$56.23	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.88 / $54.95	Professional	26	$28.84	$33.88	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.39 / $35.48	Professional	TC	$16.98	$22.39	$35.48