Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $88.25 / $116.32	Professional		$79.15	$88.25	$116.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.37 / $58.21 / $65.81	Professional	26	$51.37	$58.21	$65.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.16 / $30.04 / $46.72	Professional	TC	$26.16	$30.04	$46.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $28.47 / $69.84	Professional	26	$27.93	$28.47	$69.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $137.38 / $137.38	Professional		$50.24	$137.38	$137.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $116.74 / $181.90	Professional		$48.50	$116.74	$181.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.79 / $81.89 / $119.99	Professional	26	$31.79	$81.89	$119.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.71 / $38.99 / $61.91	Professional	TC	$16.71	$38.99	$61.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $119.64 / $587.10	Professional		$88.25	$119.64	$587.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.97 / $84.92 / $381.48	Professional	26	$58.97	$84.92	$381.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $34.13 / $205.55	Professional	TC	$21.76	$34.13	$205.55
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $92.03 / $128.84	Professional		$55.22	$92.03	$128.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $65.31 / $91.45	Professional	26	$39.19	$65.31	$91.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $26.71 / $35.21	Professional	TC	$16.03	$26.71	$35.21