Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $38.02 / $72.44	Facility	26	$36.31	$38.02	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $331.13	Professional		$107.15	$158.49	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $36.31 / $79.43	Professional	26	$26.30	$36.31	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $104.71 / $165.96	Professional	TC	$70.79	$104.71	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $331.13	Professional		$120.23	$141.25	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $24.55 / $39.81	Professional	26	$23.99	$24.55	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $338.84	Professional		$89.13	$144.54	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $61.66	Professional	26	$28.18	$38.02	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $131.83 / $281.84	Professional	TC	$56.23	$131.83	$281.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $147.91 / $147.91	Facility	26	$75.86	$147.91	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $891.25	Professional		$131.83	$186.21	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $371.54	Professional	26	$33.88	$44.67	$371.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $141.25 / $691.83	Professional	TC	$97.72	$141.25	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $239.88	Professional		$114.82	$158.49	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $37.15 / $58.88	Professional	26	$33.88	$37.15	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $125.89 / $190.55	Professional	TC	$87.10	$125.89	$190.55