Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $341.70 / $341.70 / $341.70	Facility	TC	$341.70	$341.70	$341.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $76.73 / $150.69	Professional		$68.81	$76.73	$150.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $11.38 / $18.11	Professional	26	$10.16	$11.38	$18.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.46 / $65.40 / $88.72	Professional	TC	$57.46	$65.40	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $62.31	Professional		$36.29	$36.29	$62.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.43 / $5.44 / $18.39	Professional	26	$5.43	$5.44	$18.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $99.36 / $99.36	Professional		$49.73	$99.36	$99.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $85.17 / $132.50	Professional		$35.06	$85.17	$132.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $15.53 / $26.00	Professional	26	$6.13	$15.53	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $70.83 / $107.76	Professional	TC	$28.93	$70.83	$107.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $82.26 / $105.60	Facility		$39.43	$82.26	$105.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $100.40 / $514.55	Professional		$56.00	$100.40	$514.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $16.50 / $87.52	Professional	26	$11.47	$16.50	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.36 / $83.75 / $439.92	Professional	TC	$44.36	$83.75	$439.92
United Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $77.23 / $102.04	Professional		$51.72	$77.23	$102.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.48 / $17.68	Professional	26	$7.58	$12.48	$17.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.85 / $63.51 / $83.98	Professional	TC	$42.85	$63.51	$83.98