Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $224.94 / $579.63	Professional		$116.66	$224.94	$579.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $36.77 / $90.10	Professional	26	$27.14	$36.77	$90.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.02 / $128.11 / $633.76	Professional	TC	$63.02	$128.11	$633.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $75.84	Professional		$75.83	$75.83	$75.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $17.48 / $17.48	Professional	26	$17.48	$17.48	$17.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $160.65 / $220.60	Professional		$37.10	$160.65	$220.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $84.36 / $291.12	Professional		$49.48	$84.36	$291.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $20.30 / $61.99	Professional	26	$17.48	$20.30	$61.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.30 / $64.06 / $229.13	Professional	TC	$31.30	$64.06	$229.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $194.62 / $225.10	Facility		$115.10	$194.62	$225.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $186.38 / $1,081.50	Professional		$94.46	$186.38	$1,081.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $40.06 / $235.79	Professional	26	$24.04	$40.06	$235.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.89 / $135.34 / $845.71	Professional	TC	$48.89	$135.34	$845.71
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $113.44 / $279.08	Professional		$74.36	$113.44	$279.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $40.06 / $63.84	Professional	26	$24.04	$40.06	$63.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.89 / $81.20 / $214.51	Professional	TC	$48.89	$81.20	$214.51