Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $96.68 / $171.60	Professional		$86.72	$96.68	$171.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.20 / $58.80 / $91.43	Professional	26	$52.20	$58.80	$91.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.27 / $37.67 / $57.63	Professional	TC	$31.27	$37.67	$57.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $47.33 / $47.33	Professional		$47.33	$47.33	$47.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $28.22 / $70.16	Professional	26	$27.76	$28.22	$70.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $140.85 / $204.30	Professional		$140.85	$140.85	$204.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $108.63 / $199.28	Professional		$47.62	$108.63	$199.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.79 / $81.44 / $119.95	Professional	26	$31.79	$81.44	$119.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $40.29 / $79.33	Professional	TC	$15.83	$40.29	$79.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $118.43 / $145.52	Facility		$86.72	$118.43	$145.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $134.00 / $643.49	Professional		$86.91	$134.00	$643.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $88.42 / $383.71	Professional	26	$58.95	$88.42	$383.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $45.30 / $350.03	Professional	TC	$25.66	$45.30	$350.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $100.33 / $135.32	Professional		$63.50	$100.33	$135.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $65.31 / $91.45	Professional	26	$39.19	$65.31	$91.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $33.58 / $46.20	Professional	TC	$23.23	$33.58	$46.20