Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.45 / $56.23 / $87.99	Facility	26	$45.45	$56.23	$87.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $163.19 / $197.96	Professional		$113.33	$163.19	$197.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $52.21 / $60.07	Professional	26	$37.59	$52.21	$60.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.73 / $109.37 / $137.88	Professional	TC	$75.73	$109.37	$137.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $176.51 / $176.51	Professional		$176.51	$176.51	$176.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $41.59 / $41.59	Professional	26	$41.59	$41.59	$41.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $164.85 / $226.36	Professional		$60.08	$164.85	$226.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $159.03 / $240.81	Professional		$141.69	$159.03	$240.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.59 / $55.43 / $85.19	Professional	26	$49.59	$55.43	$85.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.11 / $102.95 / $155.61	Professional	TC	$92.11	$102.95	$155.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $132.57 / $254.13 / $254.13	Facility	26	$132.57	$254.13	$254.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $182.61 / $428.89	Professional		$151.57	$182.61	$428.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $60.21 / $146.58	Professional	26	$49.60	$60.21	$146.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.87 / $122.89 / $297.54	Professional	TC	$97.87	$122.89	$297.54
United Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $178.12 / $273.92	Professional		$146.09	$178.12	$273.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $57.26 / $90.41	Professional	26	$48.22	$57.26	$90.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.87 / $122.89 / $240.15	Professional	TC	$97.87	$122.89	$240.15