Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $98.22 / $167.77	Professional		$81.12	$98.22	$167.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $26.30 / $42.69	Professional	26	$21.00	$26.30	$42.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.11 / $73.81 / $125.09	Professional	TC	$60.11	$73.81	$125.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $30.23 / $30.23	Professional	26	$30.23	$30.23	$30.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $121.22 / $139.46	Professional		$121.22	$121.22	$139.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $101.57 / $163.00	Professional		$37.47	$101.57	$163.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $35.58 / $56.09	Professional	26	$14.52	$35.58	$56.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.96 / $60.29 / $120.00	Professional	TC	$22.96	$60.29	$120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $94.19 / $750.04	Professional		$67.37	$94.19	$750.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $33.35 / $179.95	Professional	26	$18.19	$33.35	$179.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.33 / $63.87 / $570.15	Professional	TC	$40.33	$63.87	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $94.19 / $124.75	Professional		$67.37	$94.19	$124.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $30.32 / $42.45	Professional	26	$18.19	$30.32	$42.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.33 / $61.27 / $84.47	Professional	TC	$40.33	$61.27	$84.47