Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $446.68	Professional		$79.43	$95.50	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $93.33 / $512.86	Professional	26	$51.29	$93.33	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $37.15 / $77.62	Professional	TC	$30.90	$37.15	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $64.57 / $95.50	Professional	26	$28.18	$64.57	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $199.53	Professional		$47.86	$102.33	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $74.13 / $120.23	Professional	26	$31.62	$74.13	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $40.74 / $79.43	Professional	TC	$15.85	$40.74	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $144.54	Facility		$87.10	$117.49	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $645.65	Professional		$60.26	$131.83	$645.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $89.13 / $380.19	Professional	26	$38.90	$89.13	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $44.67 / $346.74	Professional	TC	$20.89	$44.67	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.02 / $63.10	Facility		$25.70	$38.02	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $141.25	Professional		$60.26	$97.72	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $91.20	Professional	26	$38.90	$64.57	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $48.98	Professional	TC	$20.89	$33.88	$48.98