Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $41.36 / $118.65	Professional		$35.59	$41.36	$118.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $14.98 / $38.69	Professional	26	$12.92	$14.98	$38.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $25.10 / $43.20	Professional	TC	$22.36	$25.10	$43.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $37.44 / $41.17	Professional		$35.22	$37.44	$41.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $11.98 / $11.98	Professional	26	$11.98	$11.98	$11.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $35.61 / $41.13	Professional		$29.39	$35.61	$41.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.82 / $14.58	Professional	26	$10.57	$12.82	$14.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.81 / $25.94	Professional	TC	$18.82	$22.81	$25.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $43.90 / $84.34	Professional		$34.07	$43.90	$84.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $16.63 / $31.33	Professional	26	$12.93	$16.63	$31.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $27.07 / $52.56	Professional	TC	$21.14	$27.07	$52.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $41.80 / $348.00	Professional		$33.75	$41.80	$348.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $15.96 / $89.60	Professional	26	$12.60	$15.96	$89.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $25.84 / $198.00	Professional	TC	$21.00	$25.84	$198.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $39.70 / $72.80	Professional		$33.35	$39.70	$72.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $15.12 / $28.53	Professional	26	$12.60	$15.12	$28.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.84 / $24.52 / $43.19	Professional	TC	$20.84	$24.52	$43.19