Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.89 / $259.68 / $357.78	Professional		$178.89	$259.68	$357.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.96 / $83.58 / $394.25	Professional	26	$21.96	$83.58	$394.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.72 / $137.55 / $204.95	Professional	TC	$135.72	$137.55	$204.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $126.65 / $172.56	Professional		$126.64	$126.65	$172.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.92 / $36.92 / $38.64	Professional	26	$36.92	$36.92	$38.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $262.85 / $360.93	Professional		$80.15	$262.85	$360.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.50 / $178.50 / $178.50	Facility		$178.50	$178.50	$178.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $154.02 / $482.62	Professional		$104.17	$154.02	$482.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $83.54 / $187.64	Professional	26	$37.60	$83.54	$187.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $106.02 / $351.45	Professional	TC	$66.56	$106.02	$351.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $296.33 / $393.18	Facility		$173.00	$296.33	$393.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $337.80 / $1,813.36	Professional		$120.75	$337.80	$1,813.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $103.94 / $509.36	Professional	26	$51.97	$103.94	$509.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $96.30 / $292.32 / $1,303.99	Professional	TC	$96.30	$292.32	$1,303.99
United Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $168.90 / $428.57	Professional		$120.75	$168.90	$428.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $78.42 / $138.96	Professional	26	$46.39	$78.42	$138.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.30 / $186.38 / $378.82	Professional	TC	$96.30	$186.38	$378.82