Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.67 / $58.55 / $112.13	Facility	26	$41.67	$58.55	$112.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $147.76 / $179.73	Professional		$109.45	$147.76	$179.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $48.78 / $72.38	Professional	26	$29.91	$48.78	$72.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $103.55 / $141.66	Professional	TC	$79.54	$103.55	$141.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $36.15 / $51.96	Professional	26	$36.15	$36.15	$51.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $205.44 / $205.44	Professional		$205.44	$205.44	$205.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $177.64 / $272.77	Professional		$103.34	$177.64	$272.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.83 / $55.72 / $88.35	Professional	26	$29.83	$55.72	$88.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.89 / $152.37 / $207.03	Professional	TC	$92.89	$152.37	$207.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.49 / $115.49 / $219.49	Facility	26	$115.49	$115.49	$219.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $173.30 / $1,019.78	Professional		$129.81	$173.30	$1,019.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $58.36 / $310.80	Professional	26	$33.22	$58.36	$310.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $96.59 / $118.43 / $708.98	Professional	TC	$96.59	$118.43	$708.98
United Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $156.35 / $266.27	Professional		$128.11	$156.35	$266.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $53.51 / $101.30	Professional	26	$33.22	$53.51	$101.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.78 / $106.25 / $184.17	Professional	TC	$86.78	$106.25	$184.17