Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $38.13 / $55.30	Professional		$37.61	$38.13	$55.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.63 / $37.40 / $3,650.85	Professional	26	$21.63	$37.40	$3,650.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.99 / $16.21 / $24.19	Professional	TC	$15.99	$16.21	$24.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $13.88 / $14.51	Professional	26	$13.88	$13.88	$14.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $51.10 / $70.17	Professional		$29.75	$51.10	$70.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $38.70 / $91.32	Professional		$18.89	$38.70	$91.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $30.93 / $63.43	Professional	26	$13.95	$30.93	$63.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.93 / $10.23 / $36.18	Professional	TC	$4.93	$10.23	$36.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $60.14 / $72.14	Facility		$39.50	$60.14	$72.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $73.12 / $342.09	Professional		$29.81	$73.12	$342.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $48.72 / $250.96	Professional	26	$18.79	$48.72	$250.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $9.44 / $34.65 / $250.96	Professional	TC	$9.44	$34.65	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $38.59 / $87.07	Professional		$23.42	$38.59	$87.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $38.97 / $152.38	Professional	26	$18.79	$38.97	$152.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.44 / $13.86 / $34.65	Professional	TC	$9.44	$13.86	$34.65