Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $87.07 / $232.05	Professional		$62.92	$87.07	$232.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $59.59 / $126.12	Professional	26	$26.61	$59.59	$126.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.27 / $57.67 / $115.34	Professional	TC	$35.27	$57.67	$115.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $50.33 / $84.36	Professional		$49.77	$50.33	$84.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $15.80 / $20.17	Professional	26	$15.78	$15.80	$20.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $96.60 / $132.65	Professional		$33.95	$96.60	$132.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $66.50 / $66.50	Facility		$66.50	$66.50	$66.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $71.38 / $189.29	Professional		$47.16	$71.38	$189.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.73 / $43.63 / $79.29	Professional	26	$17.73	$43.63	$79.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $34.03 / $133.38	Professional	TC	$27.66	$34.03	$133.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $122.70 / $157.65	Facility		$72.30	$122.70	$157.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $128.63 / $661.34	Professional		$59.15	$128.63	$661.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $48.24 / $278.39	Professional	26	$22.09	$48.24	$278.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.61 / $105.57 / $424.71	Professional	TC	$37.61	$105.57	$424.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $65.09 / $204.80	Professional		$57.31	$65.09	$204.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.09 / $24.33 / $59.39	Professional	26	$22.09	$24.33	$59.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $42.82 / $105.57	Professional	TC	$32.97	$42.82	$105.57