Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $194.98	Professional		$51.29	$97.72	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $27.54 / $83.18	Professional	26	$20.89	$27.54	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $77.62	Professional	TC	$28.18	$36.31	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $41.69	Professional	26	$12.59	$16.22	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $112.20 / $181.97	Professional		$32.36	$112.20	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $53.70 / $102.33	Professional	26	$14.13	$53.70	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $48.98 / $81.28	Professional	TC	$18.62	$48.98	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $85.11 / $181.97	Facility		$56.23	$85.11	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $97.72 / $645.65	Professional		$40.74	$97.72	$645.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $40.74 / $512.86	Professional	26	$17.38	$40.74	$512.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $51.29 / $309.03	Professional	TC	$23.99	$51.29	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $42.66	Facility		$16.98	$25.70	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $89.13 / $120.23	Professional		$40.74	$89.13	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $37.15 / $57.54	Professional	26	$17.38	$37.15	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $43.65 / $54.95	Professional	TC	$23.99	$43.65	$54.95