Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.15 / $74.08 / $123.67	Facility	26	$46.15	$74.08	$123.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $67.34 / $263.00	Professional		$51.82	$67.34	$263.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $35.52 / $89.27	Professional	26	$30.87	$35.52	$89.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $32.45 / $67.03	Professional	TC	$19.32	$32.45	$67.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $82.12 / $82.12	Professional		$82.12	$82.12	$82.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $66.70 / $72.54	Professional		$50.03	$66.70	$72.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.16 / $30.88 / $33.58	Professional	26	$23.16	$30.88	$33.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.87 / $35.82 / $38.96	Professional	TC	$26.87	$35.82	$38.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $76.27 / $134.88	Professional		$52.61	$76.27	$134.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $41.50 / $73.09	Professional	26	$30.62	$41.50	$73.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $32.74 / $65.31	Professional	TC	$20.36	$32.74	$65.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $72.78 / $145.80	Facility	26	$72.78	$72.78	$145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $61.99 / $486.90	Professional		$46.55	$61.99	$486.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.21 / $37.01 / $196.52	Professional	26	$28.21	$37.01	$196.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.43 / $28.00 / $244.63	Professional	TC	$16.43	$28.00	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $60.20 / $114.13	Professional		$45.88	$60.20	$114.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.60 / $34.04 / $63.12	Professional	26	$27.60	$34.04	$63.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.90 / $26.40 / $53.08	Professional	TC	$15.90	$26.40	$53.08