Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $110.91 / $188.57	Professional		$83.60	$110.91	$188.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.07 / $41.89 / $75.81	Professional	26	$36.07	$41.89	$75.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.88 / $70.41 / $128.44	Professional	TC	$51.88	$70.41	$128.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $51.22 / $65.90	Professional	26	$19.70	$51.22	$65.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $183.59 / $246.20	Professional		$183.59	$183.59	$246.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $190.19 / $248.00	Professional		$70.86	$190.19	$248.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.43 / $75.41 / $105.00	Professional	26	$29.43	$75.41	$105.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.43 / $114.79 / $145.11	Professional	TC	$41.43	$114.79	$145.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $171.92 / $881.27	Professional		$122.95	$171.92	$881.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.19 / $64.72 / $342.38	Professional	26	$45.19	$64.72	$342.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.76 / $107.20 / $549.40	Professional	TC	$77.76	$107.20	$549.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $129.19 / $175.36	Professional		$77.52	$129.19	$175.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $55.62 / $76.38	Professional	26	$27.94	$55.62	$76.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.76 / $87.87 / $110.81	Professional	TC	$77.76	$87.87	$110.81