Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $67.04 / $123.46	Professional		$56.64	$67.04	$123.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.24 / $26.22 / $61.65	Professional	26	$23.24	$26.22	$61.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $37.22 / $61.79	Professional	TC	$26.27	$37.22	$61.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $30.48 / $79.25	Professional		$29.52	$30.48	$79.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $12.51 / $42.06	Professional	26	$12.51	$12.51	$42.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $83.83 / $83.83	Professional		$80.18	$83.83	$83.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $122.23 / $184.00	Professional		$34.24	$122.23	$184.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.16 / $64.81 / $103.00	Professional	26	$14.16	$64.81	$103.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $53.05 / $81.00	Professional	TC	$20.22	$53.05	$81.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $84.29 / $179.94	Facility		$56.64	$84.29	$179.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $97.78 / $641.00	Professional		$65.33	$97.78	$641.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.98 / $40.42 / $513.00	Professional	26	$27.98	$40.42	$513.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $51.39 / $312.17	Professional	TC	$37.35	$51.39	$312.17
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $68.56 / $104.12	Professional		$41.14	$68.56	$104.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $29.24 / $56.27	Professional	26	$17.32	$29.24	$56.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $39.70 / $54.66	Professional	TC	$25.86	$39.70	$54.66