Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $119.72 / $152.69	Professional		$94.49	$119.72	$152.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $14.17 / $17.02	Professional	26	$11.73	$14.17	$17.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.45 / $105.97 / $132.91	Professional	TC	$79.45	$105.97	$132.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $162.51 / $162.51	Professional		$162.51	$162.51	$162.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $106.31 / $126.94	Professional		$106.31	$106.31	$126.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.83 / $11.83 / $14.13	Professional	26	$11.83	$11.83	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.48 / $94.48 / $112.81	Professional	TC	$94.48	$94.48	$112.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $114.02 / $162.10	Professional		$78.80	$114.02	$162.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $14.10 / $22.68	Professional	26	$11.88	$14.10	$22.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $100.51 / $140.69	Professional	TC	$67.56	$100.51	$140.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $100.00 / $100.00	Facility	26	$34.29	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $98.94 / $800.25	Professional		$76.65	$98.94	$800.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.47 / $14.80 / $135.38	Professional	26	$12.47	$14.80	$135.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.70 / $84.66 / $706.26	Professional	TC	$63.70	$84.66	$706.26
United Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $97.65 / $161.86	Professional		$75.48	$97.65	$161.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.47 / $14.06 / $23.73	Professional	26	$12.47	$14.06	$23.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.70 / $84.32 / $139.76	Professional	TC	$63.70	$84.32	$139.76