Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $101.67 / $132.38	Professional		$85.19	$101.67	$132.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $74.68 / $91.26	Professional	26	$63.08	$74.68	$91.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $26.30 / $35.83	Professional	TC	$19.69	$26.30	$35.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $100.12 / $130.16	Professional		$90.11	$100.12	$130.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $84.49 / $107.02	Professional		$84.49	$84.49	$107.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.15 / $61.15 / $73.02	Professional	26	$61.15	$61.15	$73.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.34 / $23.34 / $27.86	Professional	TC	$23.34	$23.34	$27.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $101.29 / $154.34	Professional		$84.18	$101.29	$154.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.79 / $77.98 / $122.95	Professional	26	$63.79	$77.98	$122.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $26.32 / $36.96	Professional	TC	$17.07	$26.32	$36.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $177.91 / $177.91 / $343.65	Facility	26	$177.91	$177.91	$343.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $102.57 / $702.18	Professional		$85.26	$102.57	$702.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $81.00 / $487.97	Professional	26	$67.50	$81.00	$487.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.10 / $23.92 / $214.27	Professional	TC	$16.10	$23.92	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $97.28 / $165.26	Professional		$84.16	$97.28	$165.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.41 / $73.79 / $130.21	Professional	26	$66.41	$73.79	$130.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $23.40 / $40.08	Professional	TC	$15.64	$23.40	$40.08