Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $65.98 / $149.60	Professional		$43.93	$65.98	$149.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.20 / $27.31 / $84.15	Professional	26	$16.20	$27.31	$84.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.95 / $28.33 / $43.26	Professional	TC	$27.95	$28.33	$43.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $10.13 / $10.32	Professional	26	$10.13	$10.13	$10.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $58.10 / $79.78	Professional		$21.70	$58.10	$79.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $91.00	Facility		$91.00	$91.00	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $70.38 / $120.84	Professional		$28.88	$70.38	$120.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $28.46 / $46.56	Professional	26	$10.24	$28.46	$46.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.51 / $28.96 / $77.63	Professional	TC	$18.51	$28.96	$77.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $68.70 / $95.25	Facility		$40.96	$68.70	$95.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $94.74 / $407.64	Professional		$36.97	$94.74	$407.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $35.19 / $244.00	Professional	26	$14.08	$35.19	$244.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $61.12 / $268.50	Professional	TC	$23.82	$61.12	$268.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $63.16 / $106.59	Professional		$36.97	$63.16	$106.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $23.46 / $40.47	Professional	26	$14.06	$23.46	$40.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.92 / $26.38 / $61.12	Professional	TC	$22.92	$26.38	$61.12