Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $77.48 / $184.46	Professional		$54.93	$77.48	$184.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $47.48 / $161.50	Professional	26	$19.01	$47.48	$161.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.43 / $81.63 / $173.92	Professional	TC	$44.43	$81.63	$173.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $49.73 / $90.29	Professional		$49.19	$49.73	$90.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $12.05 / $15.38	Professional	26	$12.04	$12.05	$15.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $102.20 / $140.34	Professional		$25.90	$102.20	$140.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $62.90 / $188.18	Professional		$41.34	$62.90	$188.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $27.91 / $55.76	Professional	26	$12.37	$27.91	$55.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.97 / $37.28 / $134.35	Professional	TC	$28.97	$37.28	$134.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $108.83 / $154.37	Facility		$35.00	$108.83	$154.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $137.37 / $715.47	Professional		$56.22	$137.37	$715.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $36.59 / $162.69	Professional	26	$16.38	$36.59	$162.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $118.78 / $552.78	Professional	TC	$40.65	$118.78	$552.78
United Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $64.31 / $203.37	Professional		$54.80	$64.31	$203.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.46 / $25.94 / $44.40	Professional	26	$15.46	$25.94	$44.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.34 / $47.64 / $118.78	Professional	TC	$39.34	$47.64	$118.78