Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $276.33 / $1,210.72	Professional		$263.67	$276.33	$1,210.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $65.18 / $178.30	Professional	26	$38.84	$65.18	$178.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.91 / $229.98 / $849.46	Professional	TC	$226.91	$229.98	$849.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $189.42 / $189.42	Professional		$189.42	$189.42	$189.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $262.06 / $522.89	Professional		$62.65	$262.06	$522.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $197.46 / $655.86	Professional		$90.51	$197.46	$655.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $33.15 / $103.50	Professional	26	$29.40	$33.15	$103.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.44 / $152.52 / $552.36	Professional	TC	$60.44	$152.52	$552.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $445.91 / $2,575.76	Professional		$135.99	$445.91	$2,575.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.22 / $74.23 / $393.91	Professional	26	$40.22	$74.23	$393.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $94.37 / $344.29 / $2,181.85	Professional	TC	$94.37	$344.29	$2,181.85
United Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $247.07 / $630.26	Professional		$135.99	$247.07	$630.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.22 / $41.62 / $104.31	Professional	26	$40.22	$41.62	$104.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.37 / $236.55 / $523.01	Professional	TC	$94.37	$236.55	$523.01