Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $41.69	Professional		$19.95	$25.12	$41.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $23.99	Professional	26	$16.98	$19.95	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $10.00	Professional	TC	$3.02	$3.98	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $28.84	Professional		$13.18	$17.38	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $56.23	Professional		$21.88	$34.67	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $31.62	Professional	26	$18.20	$23.44	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.13 / $30.90	Professional	TC	$3.55	$5.13	$30.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $100.00	Facility	26	$47.86	$47.86	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $87.10	Professional		$20.89	$27.54	$87.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.38 / $158.49	Professional	26	$16.98	$21.38	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.37 / $218.78	Professional	TC	$3.02	$4.37	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $58.88	Professional		$20.42	$24.55	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $20.42 / $26.30	Professional	26	$16.60	$20.42	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.37 / $36.31	Professional	TC	$3.02	$4.37	$36.31