Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $82.40 / $120.57	Professional		$68.68	$82.40	$120.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.21 / $41.99 / $57.37	Professional	26	$36.21	$41.99	$57.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.35 / $40.72 / $63.20	Professional	TC	$33.35	$40.72	$63.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $67.36 / $86.36	Professional		$61.69	$67.36	$86.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $78.92 / $98.65	Professional		$59.19	$78.92	$98.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.74 / $39.65 / $49.57	Professional	26	$29.74	$39.65	$49.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.45 / $39.26 / $49.08	Professional	TC	$29.45	$39.26	$49.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $100.70 / $179.88	Professional		$69.93	$100.70	$179.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $57.82 / $99.11	Professional	26	$40.17	$57.82	$99.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $45.78 / $87.02	Professional	TC	$26.09	$45.78	$87.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.35 / $196.79 / $196.79	Facility	26	$102.35	$196.79	$196.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $87.84 / $567.30	Professional		$68.34	$87.84	$567.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $49.64 / $318.67	Professional	26	$39.95	$49.64	$318.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $41.04 / $318.67	Professional	TC	$26.52	$41.04	$318.67
United Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $84.05 / $157.30	Professional		$67.65	$84.05	$157.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $45.51 / $85.38	Professional	26	$38.70	$45.51	$85.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.46 / $39.10 / $75.64	Professional	TC	$25.46	$39.10	$75.64