Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $76.18 / $115.30	Professional		$42.21	$76.18	$115.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $26.54 / $88.09	Professional	26	$11.20	$26.54	$88.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.66 / $80.09 / $129.96	Professional	TC	$45.66	$80.09	$129.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $40.04 / $62.31	Professional		$35.85	$40.04	$62.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.43 / $5.56 / $12.11	Professional	26	$5.43	$5.56	$12.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $73.15 / $100.45	Professional		$11.90	$73.15	$100.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $39.17 / $132.50	Professional		$28.66	$39.17	$132.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.51 / $12.24 / $26.00	Professional	26	$5.51	$12.24	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.14 / $30.67 / $107.76	Professional	TC	$23.14	$30.67	$107.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $78.17 / $111.31	Facility		$31.00	$78.17	$111.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $93.34 / $514.55	Professional		$38.03	$93.34	$514.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $17.03 / $87.52	Professional	26	$7.26	$17.03	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $96.90 / $439.92	Professional	TC	$34.79	$96.90	$439.92
United Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $46.34 / $115.85	Professional		$41.61	$46.34	$115.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $11.47 / $20.18	Professional	26	$6.82	$11.47	$20.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $38.76 / $96.90	Professional	TC	$34.79	$38.76	$96.90