Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $265.20 / $376.72	Professional		$189.62	$265.20	$376.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.25 / $56.35 / $83.71	Professional	26	$40.25	$56.35	$83.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.25 / $206.15 / $320.55	Professional	TC	$133.25	$206.15	$320.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.59 / $64.43 / $72.08	Professional	26	$32.59	$64.43	$72.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $257.94 / $290.19	Professional		$161.22	$257.94	$290.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.02 / $41.62 / $46.83	Professional	26	$26.02	$41.62	$46.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.19 / $216.32 / $243.36	Professional	TC	$135.19	$216.32	$243.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $212.88 / $426.41	Professional		$122.85	$212.88	$426.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.03 / $61.98 / $85.63	Professional	26	$30.03	$61.98	$85.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.75 / $162.94 / $359.51	Professional	TC	$84.75	$162.94	$359.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $283.08 / $283.08 / $283.08	Facility	26	$283.08	$283.08	$283.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $247.27 / $2,575.76	Professional		$129.41	$247.27	$2,575.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $64.55 / $393.91	Professional	26	$37.36	$64.55	$393.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.81 / $206.57 / $2,181.85	Professional	TC	$89.81	$206.57	$2,181.85
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $247.07 / $459.08	Professional		$129.41	$247.07	$459.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.36 / $40.50 / $84.15	Professional	26	$37.36	$40.50	$84.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.81 / $206.57 / $429.30	Professional	TC	$89.81	$206.57	$429.30