Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.14 / $34.90 / $54.12	Facility	26	$28.14	$34.90	$54.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $272.45 / $310.35	Professional		$207.13	$272.45	$310.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.41 / $33.02 / $35.17	Professional	26	$23.41	$33.02	$35.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.72 / $238.86 / $275.18	Professional	TC	$183.72	$238.86	$275.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $25.75 / $25.75	Professional	26	$25.75	$25.75	$25.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $299.60 / $411.39	Professional		$36.86	$299.60	$411.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $289.91 / $440.98	Professional		$249.67	$289.91	$440.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.57 / $34.15 / $51.88	Professional	26	$30.57	$34.15	$51.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.97 / $253.61 / $389.10	Professional	TC	$221.97	$253.61	$389.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $155.94 / $155.94	Facility	26	$81.73	$155.94	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.97 / $338.52 / $664.51	Professional		$280.97	$338.52	$664.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.74 / $36.74 / $84.95	Professional	26	$29.74	$36.74	$84.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $241.08 / $293.67 / $663.17	Professional	TC	$241.08	$293.67	$663.17
United Facility/Professional Professional Modifier Low / Median / High Price $270.82 / $330.41 / $647.59	Professional		$270.82	$330.41	$647.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.67 / $33.45 / $55.76	Professional	26	$29.67	$33.45	$55.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.08 / $293.67 / $452.02	Professional	TC	$241.08	$293.67	$452.02