Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $44.67	Professional		$19.95	$25.70	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $25.12	Professional	26	$16.98	$19.95	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $22.91	Professional	TC	$3.02	$3.98	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $25.70	Professional		$18.20	$22.39	$25.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.62 / $21.38	Professional	26	$14.79	$18.62	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $3.89 / $4.37	Professional	TC	$3.09	$3.89	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $74.13	Professional		$19.95	$29.51	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $20.89 / $40.74	Professional	26	$16.60	$20.89	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $5.25 / $40.74	Professional	TC	$3.24	$5.25	$40.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $100.00 / $100.00	Facility	26	$47.86	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $47.86 / $316.23	Professional		$21.38	$47.86	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.38 / $158.49	Professional	26	$16.98	$21.38	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $16.22 / $218.78	Professional	TC	$3.24	$16.22	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $58.88	Professional		$20.89	$33.11	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.05 / $30.90	Professional	26	$16.60	$19.05	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.16 / $6.31 / $38.02	Professional	TC	$3.16	$6.31	$38.02