Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $92.39 / $232.00	Professional		$64.31	$92.39	$232.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $32.18 / $47.11	Professional	26	$27.52	$32.18	$47.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $61.42 / $100.24	Professional	TC	$33.03	$61.42	$100.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $96.24 / $96.24	Professional		$96.24	$96.24	$96.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $92.58 / $115.72	Professional		$69.43	$92.58	$115.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $30.78 / $38.47	Professional	26	$23.08	$30.78	$38.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.35 / $61.80 / $77.25	Professional	TC	$46.35	$61.80	$77.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	26	$38.61	$38.61	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $103.43 / $188.50	Professional		$56.17	$103.43	$188.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $43.96 / $75.22	Professional	26	$31.45	$43.96	$75.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $69.58 / $127.43	Professional	TC	$21.41	$69.58	$127.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.13 / $152.90 / $152.90	Facility	26	$78.13	$152.90	$152.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $93.10 / $687.40	Professional		$54.34	$93.10	$687.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $38.22 / $224.56	Professional	26	$30.40	$38.22	$224.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.44 / $55.11 / $472.45	Professional	TC	$21.44	$55.11	$472.45
United Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $87.78 / $176.52	Professional		$53.38	$87.78	$176.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.04 / $35.28 / $67.23	Professional	26	$30.04	$35.28	$67.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $47.52 / $110.82	Professional	TC	$20.89	$47.52	$110.82