Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $128.18 / $173.30	Professional		$105.13	$128.18	$173.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.61 / $34.15 / $45.90	Professional	26	$29.61	$34.15	$45.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.45 / $97.95 / $134.16	Professional	TC	$78.45	$97.95	$134.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $64.39 / $64.39	Professional		$64.39	$64.39	$64.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.50 / $37.50 / $37.50	Professional	26	$37.50	$37.50	$37.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $160.63 / $161.38	Professional		$160.63	$160.63	$161.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $138.03 / $219.00	Professional		$53.43	$138.03	$219.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.52 / $51.88 / $75.00	Professional	26	$18.52	$51.88	$75.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $81.00 / $144.00	Professional	TC	$35.04	$81.00	$144.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $165.35 / $973.09	Professional		$92.40	$165.35	$973.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $52.01 / $236.03	Professional	26	$36.40	$52.01	$236.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.57 / $118.00 / $750.23	Professional	TC	$54.57	$118.00	$750.23
United Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $127.43 / $170.01	Professional		$91.04	$127.43	$170.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $40.76 / $52.54	Professional	26	$22.52	$40.76	$52.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.68 / $87.22 / $120.36	Professional	TC	$53.68	$87.22	$120.36