Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.51 / $57.96 / $107.46	Facility	26	$47.51	$57.96	$107.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $133.21 / $189.29	Professional		$129.21	$133.21	$189.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $54.17 / $72.63	Professional	26	$42.60	$54.17	$72.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.54 / $96.51 / $119.11	Professional	TC	$83.54	$96.51	$119.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $107.12 / $206.28	Professional		$96.09	$107.12	$206.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.07 / $35.97 / $54.83	Professional	26	$35.07	$35.97	$54.83
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $61.00 / $66.79 / $117.69	Professional	TC	$61.00	$66.79	$117.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $207.83 / $207.83	Professional		$207.83	$207.83	$207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $175.82 / $244.16	Professional		$106.13	$175.82	$244.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $62.03 / $86.39	Professional	26	$40.04	$62.03	$86.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.16 / $115.69 / $158.60	Professional	TC	$72.16	$115.69	$158.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $111.76 / $213.45 / $213.45	Facility	26	$111.76	$213.45	$213.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $171.39 / $872.98	Professional		$139.79	$171.39	$872.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.46 / $62.38 / $298.50	Professional	26	$46.46	$62.38	$298.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.49 / $109.01 / $574.48	Professional	TC	$90.49	$109.01	$574.48
United Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $155.83 / $246.26	Professional		$139.79	$155.83	$246.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $54.45 / $86.52	Professional	26	$48.35	$54.45	$86.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.49 / $104.15 / $150.18	Professional	TC	$90.49	$104.15	$150.18