Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $51.29	Professional	26	$8.91	$12.88	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.05 / $69.18	Professional	TC	$12.88	$19.05	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.91 / $38.90	Professional	26	$20.89	$22.91	$38.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $48.98	Professional	26	$19.95	$25.12	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $70.79	Professional	TC	$28.84	$36.31	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.11 / $60.26	Professional	26	$23.44	$33.11	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $47.86 / $89.13	Professional	TC	$33.88	$47.86	$89.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $109.65	Facility	26	$57.54	$57.54	$109.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $147.91 / $147.91	Professional	26	$21.88	$147.91	$147.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $181.97 / $181.97	Professional	TC	$32.36	$181.97	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $56.23	Professional	26	$21.88	$25.70	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $38.02 / $83.18	Professional	TC	$32.36	$38.02	$83.18