Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $123.03	Professional		$48.98	$60.26	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $35.48 / $97.72	Professional	26	$28.18	$35.48	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.99 / $36.31	Professional	TC	$19.95	$23.99	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $85.11	Professional		$28.84	$51.29	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $104.71	Professional		$48.98	$70.79	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $61.66	Professional	26	$29.51	$43.65	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $28.18 / $41.69	Professional	TC	$16.60	$28.18	$41.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $398.11	Professional		$51.29	$64.57	$398.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $40.74 / $346.74	Professional	26	$30.90	$40.74	$346.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $165.96	Professional	TC	$19.05	$25.70	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $79.43	Professional		$51.29	$63.10	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.81 / $47.86	Professional	26	$30.90	$39.81	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $33.88	Professional	TC	$19.05	$25.12	$33.88