Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $82.49 / $118.67	Professional		$63.52	$82.49	$118.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.30 / $54.94 / $133.62	Professional	26	$31.30	$54.94	$133.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.49 / $81.70 / $593.91	Professional	TC	$49.49	$81.70	$593.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $19.70 / $19.70	Professional	26	$19.70	$19.70	$19.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $113.75 / $156.19	Professional		$42.70	$113.75	$156.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $147.47 / $241.05	Professional		$59.18	$147.47	$241.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $57.74 / $98.92	Professional	26	$22.58	$57.74	$98.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.61 / $51.11 / $143.00	Professional	TC	$36.61	$51.11	$143.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $188.45 / $881.27	Professional		$77.52	$188.45	$881.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $69.84 / $342.38	Professional	26	$27.94	$69.84	$342.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $123.96 / $549.40	Professional	TC	$49.58	$123.96	$549.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $129.19 / $234.84	Professional		$77.52	$129.19	$234.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $46.56 / $86.64	Professional	26	$27.94	$46.56	$86.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $59.13 / $138.40	Professional	TC	$49.58	$59.13	$138.40