Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $97.72 / $190.55	Facility	26	$67.61	$97.72	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $323.59	Professional		$107.15	$138.04	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $162.18	Professional	26	$52.48	$64.57	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $70.79 / $114.82	Professional	TC	$53.70	$70.79	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $138.04	Professional		$93.33	$95.50	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $81.28	Professional	26	$45.71	$63.10	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $251.19	Professional		$112.20	$112.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $281.84	Professional		$120.23	$186.21	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $109.65	Professional	26	$54.95	$74.13	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $104.71 / $151.36	Professional	TC	$66.07	$104.71	$151.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $1,047.13	Professional		$125.89	$208.93	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $851.14	Professional	26	$61.66	$81.28	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $120.23 / $724.44	Professional	TC	$64.57	$120.23	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $229.09	Professional		$125.89	$194.98	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $100.00	Professional	26	$61.66	$72.44	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $107.15 / $144.54	Professional	TC	$66.07	$107.15	$144.54