Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $64.14 / $141.77	Professional		$46.72	$64.14	$141.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $24.94 / $42.40	Professional	26	$19.77	$24.94	$42.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.96 / $38.76 / $99.38	Professional	TC	$26.96	$38.76	$99.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $34.68	Professional		$34.68	$34.68	$34.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $92.22 / $92.22	Professional		$20.30	$92.22	$92.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $73.98 / $134.66	Professional		$36.24	$73.98	$134.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $37.20 / $52.77	Professional	26	$14.51	$37.20	$52.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $45.72 / $81.90	Professional	TC	$21.73	$45.72	$81.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $89.96 / $424.65	Professional		$54.06	$89.96	$424.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.19 / $40.40 / $214.00	Professional	26	$27.19	$40.40	$214.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $52.32 / $272.93	Professional	TC	$26.74	$52.32	$272.93
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $69.65 / $97.51	Professional		$41.79	$69.65	$97.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $28.87 / $40.92	Professional	26	$17.54	$28.87	$40.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $38.77 / $52.55	Professional	TC	$24.25	$38.77	$52.55