Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.63 / $105.38	Professional		$27.44	$35.63	$105.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $13.07 / $45.41	Professional	26	$8.19	$13.07	$45.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $25.50 / $42.98	Professional	TC	$20.32	$25.50	$42.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.97 / $25.76	Professional		$18.80	$18.97	$25.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.11 / $5.13 / $14.36	Professional	26	$5.11	$5.13	$14.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $38.15 / $52.39	Professional		$11.20	$38.15	$52.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $115.50 / $115.50	Facility		$115.50	$115.50	$115.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $36.24 / $83.74	Professional		$18.98	$36.24	$83.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.15 / $11.44 / $32.04	Professional	26	$5.15	$11.44	$32.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.27 / $23.89 / $67.68	Professional	TC	$13.27	$23.89	$67.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $53.24 / $81.00	Facility		$29.95	$53.24	$81.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.69 / $360.92	Professional		$25.12	$57.69	$360.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.14 / $14.29 / $191.54	Professional	26	$7.14	$14.29	$191.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $46.96 / $268.14	Professional	TC	$17.97	$46.96	$268.14
United Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $41.86 / $83.33	Professional		$24.65	$41.86	$83.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.14 / $10.73 / $19.03	Professional	26	$6.14	$10.73	$19.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.51 / $30.47 / $58.21	Professional	TC	$17.51	$30.47	$58.21