Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $92.10 / $257.27	Professional		$69.73	$92.10	$257.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $46.96 / $227.80	Professional	26	$25.75	$46.96	$227.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.21 / $50.21 / $95.62	Professional	TC	$50.21	$50.21	$95.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $53.49 / $72.09	Professional		$52.92	$53.49	$72.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $18.78 / $19.57	Professional	26	$18.78	$18.78	$19.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $113.75 / $156.19	Professional		$40.95	$113.75	$156.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $70.41 / $200.35	Professional		$52.94	$70.41	$200.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $31.41 / $95.00	Professional	26	$21.25	$31.41	$95.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.70 / $40.54 / $133.94	Professional	TC	$29.70	$40.54	$133.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $149.96 / $191.10	Facility		$82.41	$149.96	$191.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $172.70 / $764.45	Professional		$76.44	$172.70	$764.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $66.05 / $310.87	Professional	26	$26.42	$66.05	$310.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.83 / $115.30 / $507.20	Professional	TC	$44.83	$115.30	$507.20
United Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $113.90 / $207.58	Professional		$68.90	$113.90	$207.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $44.03 / $79.80	Professional	26	$26.42	$44.03	$79.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.07 / $61.28 / $136.65	Professional	TC	$37.07	$61.28	$136.65