Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $222.74 / $310.48	Professional		$219.14	$222.74	$310.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.01 / $52.54 / $214.80	Professional	26	$31.01	$52.54	$214.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.01 / $190.68 / $772.00	Professional	TC	$174.01	$190.68	$772.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $119.33 / $133.06	Professional		$119.33	$119.33	$133.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $113.31 / $113.31 / $113.31	Professional	TC	$113.31	$113.31	$113.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $282.92 / $433.02	Professional		$42.70	$282.92	$433.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $165.11 / $461.04	Professional		$85.57	$165.11	$461.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.00 / $69.05	Professional	26	$19.05	$23.00	$69.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.95 / $142.11 / $394.07	Professional	TC	$64.95	$142.11	$394.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $348.26 / $2,077.04	Professional		$130.07	$348.26	$2,077.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.68 / $50.81 / $267.88	Professional	26	$27.68	$50.81	$267.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.42 / $302.07 / $1,809.15	Professional	TC	$101.42	$302.07	$1,809.15
United Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $208.96 / $529.34	Professional		$130.07	$208.96	$529.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.68 / $46.19 / $73.81	Professional	26	$27.68	$46.19	$73.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.42 / $181.24 / $453.10	Professional	TC	$101.42	$181.24	$453.10