Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $476.63 / $605.20	Professional		$80.03	$476.63	$605.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.72 / $29.47 / $60.48	Professional	26	$20.72	$29.47	$60.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.31 / $86.35 / $169.08	Professional	TC	$59.31	$86.35	$169.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $53.90 / $68.30	Professional		$48.71	$53.90	$68.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $13.13 / $13.70	Professional	26	$13.13	$13.13	$13.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $88.97 / $137.44	Professional		$28.35	$88.97	$137.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $48.71 / $163.00	Professional		$30.78	$48.71	$163.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $14.94 / $46.49	Professional	26	$13.01	$14.94	$46.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $35.58 / $120.00	Professional	TC	$17.77	$35.58	$120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $106.07 / $750.04	Professional		$45.94	$106.07	$750.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $33.35 / $179.95	Professional	26	$17.95	$33.35	$179.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $65.69 / $570.15	Professional	TC	$27.75	$65.69	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $94.19 / $141.29	Professional		$45.94	$94.19	$141.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $28.72 / $47.86	Professional	26	$17.95	$28.72	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $63.87 / $95.81	Professional	TC	$27.75	$63.87	$95.81