Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $59.35 / $81.63	Professional		$47.24	$59.35	$81.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $26.40 / $128.02	Professional	26	$5.23	$26.40	$128.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.26 / $37.61 / $40.86	Professional	TC	$26.26	$37.61	$40.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $30.48 / $33.06	Professional		$30.48	$30.48	$33.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $12.50 / $13.04	Professional	26	$12.50	$12.50	$13.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $61.95 / $85.07	Professional		$26.95	$61.95	$85.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $48.81 / $170.40	Professional		$31.52	$48.81	$170.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $27.43 / $83.22	Professional	26	$13.94	$27.43	$83.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.37 / $77.25	Professional	TC	$17.57	$21.37	$77.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $80.11 / $114.49	Facility		$47.93	$80.11	$114.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $96.96 / $641.00	Professional		$41.14	$96.96	$641.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $38.24 / $513.00	Professional	26	$17.32	$38.24	$513.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $59.55 / $312.17	Professional	TC	$23.82	$59.55	$312.17
United Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $68.56 / $138.32	Professional		$41.08	$68.56	$138.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $33.20 / $61.17	Professional	26	$17.32	$33.20	$61.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $30.47 / $62.85	Professional	TC	$23.57	$30.47	$62.85