Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $245.47	Professional		$63.10	$89.13	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $39.81 / $177.83	Professional	26	$26.92	$39.81	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $57.54 / $104.71	Professional	TC	$35.48	$57.54	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $141.25	Professional		$50.12	$64.57	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $44.67	Professional	26	$15.85	$15.85	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $95.50 / $131.83	Professional		$33.88	$95.50	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $190.55	Professional		$46.77	$97.72	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $46.77 / $79.43	Professional	26	$17.78	$46.77	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.88 / $134.90	Professional	TC	$24.55	$33.88	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $158.49	Facility		$69.18	$107.15	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $660.69	Professional		$58.88	$128.82	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $40.74 / $275.42	Professional	26	$21.88	$40.74	$275.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $85.11 / $426.58	Professional	TC	$33.11	$85.11	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $87.10	Facility		$34.67	$52.48	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $173.78	Professional		$57.54	$95.50	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $37.15 / $61.66	Professional	26	$21.88	$37.15	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $53.70 / $114.82	Professional	TC	$33.11	$53.70	$114.82