Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $184.02 / $357.59	Professional		$142.82	$184.02	$357.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $22.42 / $47.49	Professional	26	$17.39	$22.42	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.43 / $149.58 / $322.94	Professional	TC	$125.43	$149.58	$322.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $10.71 / $10.71	Professional	26	$10.71	$10.71	$10.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $264.91 / $264.91	Professional		$210.30	$264.91	$264.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $226.94 / $352.00	Professional		$74.20	$226.94	$352.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $50.96 / $101.00	Professional	26	$12.78	$50.96	$101.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.43 / $175.99 / $237.00	Professional	TC	$61.43	$175.99	$237.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $234.47 / $1,336.58	Professional		$157.79	$234.47	$1,336.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $38.15 / $315.72	Professional	26	$25.22	$38.15	$315.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $127.36 / $200.27 / $1,188.97	Professional	TC	$127.36	$200.27	$1,188.97
United Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $182.97 / $256.16	Professional		$109.78	$182.97	$256.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $26.36 / $53.74	Professional	26	$15.59	$26.36	$53.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.36 / $154.34 / $204.09	Professional	TC	$127.36	$154.34	$204.09