Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $79.40 / $121.77	Professional		$78.34	$79.40	$121.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.09 / $23.40 / $33.78	Professional	26	$23.09	$23.40	$33.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.25 / $56.00 / $87.99	Professional	TC	$55.25	$56.00	$87.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $63.85 / $63.85	Professional		$63.85	$63.85	$63.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $57.70 / $208.97	Professional		$31.27	$57.70	$208.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.57 / $54.79	Professional	26	$11.48	$16.57	$54.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $42.21 / $145.94	Professional	TC	$19.79	$42.21	$145.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $128.22 / $730.19	Professional		$46.84	$128.22	$730.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $37.31 / $200.25	Professional	26	$15.92	$37.31	$200.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $82.65 / $531.07	Professional	TC	$30.92	$82.65	$531.07
United Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $69.94 / $174.86	Professional		$59.14	$69.94	$174.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $20.35 / $50.88	Professional	26	$15.92	$20.35	$50.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $49.59 / $126.85	Professional	TC	$30.92	$49.59	$126.85