Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $144.68 / $238.05	Professional		$116.66	$144.68	$238.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $36.40 / $58.85	Professional	26	$27.51	$36.40	$58.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.15 / $109.46 / $183.18	Professional	TC	$89.15	$109.46	$183.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.31 / $40.31 / $40.31	Professional	26	$40.31	$40.31	$40.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $202.40 / $297.80	Professional		$195.47	$202.40	$297.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $171.44 / $325.63	Professional		$81.86	$171.44	$325.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.71 / $49.73 / $74.09	Professional	26	$19.71	$49.73	$74.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.14 / $133.60 / $251.54	Professional	TC	$62.14	$133.60	$251.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $170.19 / $214.68	Facility		$127.89	$170.19	$214.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $175.40 / $1,081.50	Professional		$108.97	$175.40	$1,081.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $48.42 / $235.79	Professional	26	$24.04	$48.42	$235.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.36 / $135.34 / $845.71	Professional	TC	$73.36	$135.34	$845.71
United Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $173.59 / $231.10	Professional		$108.70	$173.59	$231.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $40.06 / $56.08	Professional	26	$24.04	$40.06	$56.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.65 / $129.80 / $189.48	Professional	TC	$78.65	$129.80	$189.48