Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $109.38 / $170.68	Professional		$96.31	$109.38	$170.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.94 / $82.37 / $124.11	Professional	26	$71.94	$82.37	$124.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $26.28 / $78.67	Professional	TC	$23.57	$26.28	$78.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.08 / $93.08 / $93.08	Professional	26	$93.08	$93.08	$93.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $159.80 / $159.80	Professional		$48.11	$159.80	$159.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $161.30 / $223.94	Professional		$67.23	$161.30	$223.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $111.83 / $169.77	Professional	26	$44.28	$111.83	$169.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $58.69 / $83.00	Professional	TC	$23.73	$58.69	$83.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $160.79 / $745.14	Professional		$113.36	$160.79	$745.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $74.02 / $126.28 / $538.00	Professional	26	$74.02	$126.28	$538.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.13 / $52.23 / $340.13	Professional	TC	$25.13	$52.23	$340.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $118.45 / $164.02	Professional		$70.59	$118.45	$164.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.57 / $89.94 / $127.33	Professional	26	$54.57	$89.94	$127.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $34.51 / $57.27	Professional	TC	$18.93	$34.51	$57.27