Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $57.54 / $125.89	Facility	26	$41.69	$57.54	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $208.93	Professional		$67.61	$114.82	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.88 / $64.57	Professional	26	$25.12	$33.88	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $147.91	Professional	TC	$47.86	$89.13	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $91.20	Professional		$72.44	$74.13	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.89 / $41.69	Professional	26	$20.42	$20.89	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $275.42	Professional		$81.28	$134.90	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $36.31 / $75.86	Professional	26	$22.91	$36.31	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $95.50 / $204.17	Professional	TC	$57.54	$95.50	$204.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $257.04	Facility	26	$199.53	$199.53	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $660.69	Professional		$87.10	$123.03	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $35.48 / $173.78	Professional	26	$26.30	$35.48	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $89.13 / $489.78	Professional	TC	$60.26	$89.13	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $181.97	Professional		$87.10	$112.20	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $30.90 / $50.12	Professional	26	$27.54	$30.90	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $79.43 / $131.83	Professional	TC	$60.26	$79.43	$131.83