Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $140.00 / $210.00	Professional		$92.19	$140.00	$210.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $26.04 / $59.50	Professional	26	$17.05	$26.04	$59.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.49 / $78.04 / $114.63	Professional	TC	$51.49	$78.04	$114.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $70.51 / $89.87	Professional		$63.66	$70.51	$89.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $16.28 / $16.96	Professional	26	$16.28	$16.28	$16.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $128.79 / $181.19	Professional		$35.00	$128.79	$181.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $63.66 / $219.00	Professional		$46.35	$63.66	$219.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $24.73 / $75.00	Professional	26	$18.14	$24.73	$75.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.64 / $47.38 / $155.21	Professional	TC	$26.64	$47.38	$155.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $170.09 / $973.09	Professional		$57.99	$170.09	$973.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $60.55 / $236.03	Professional	26	$22.52	$60.55	$236.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $118.78 / $750.23	Professional	TC	$33.43	$118.78	$750.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $77.09 / $192.72	Professional		$57.99	$77.09	$192.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $41.28 / $61.56	Professional	26	$22.52	$41.28	$61.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $54.57 / $176.78	Professional	TC	$33.43	$54.57	$176.78