Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $30.86 / $69.56	Professional		$27.68	$30.86	$69.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $6.42 / $8.31	Professional	26	$5.68	$6.42	$8.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $24.40 / $62.69	Professional	TC	$16.67	$24.40	$62.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.46	Professional		$14.73	$14.73	$15.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.07 / $7.06 / $10.51	Professional	26	$3.07	$7.06	$10.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $46.68 / $139.15	Professional		$46.68	$46.68	$139.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $57.74 / $95.00	Professional		$15.50	$57.74	$95.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $9.31 / $31.00	Professional	26	$3.63	$9.31	$31.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.87 / $49.64 / $64.00	Professional	TC	$11.87	$49.64	$64.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $39.42 / $78.00	Facility		$27.68	$39.42	$78.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $46.19 / $263.07	Professional		$29.74	$46.19	$263.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $9.47 / $145.30	Professional	26	$6.48	$9.47	$145.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.76 / $39.71 / $226.21	Professional	TC	$22.76	$39.71	$226.21
United Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $34.54 / $47.82	Professional		$21.03	$34.54	$47.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $7.22 / $9.99	Professional	26	$6.43	$7.22	$9.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $30.86 / $41.39	Professional	TC	$16.82	$30.86	$41.39