Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $106.95 / $246.61	Professional		$94.37	$106.95	$246.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.62 / $76.30 / $177.45	Professional	26	$70.62	$76.30	$177.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $30.64 / $69.16	Professional	TC	$19.69	$30.64	$69.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $89.49 / $89.49	Professional		$89.49	$89.49	$89.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.11 / $92.11 / $92.11	Professional	26	$92.11	$92.11	$92.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $156.21 / $156.21	Professional		$156.21	$156.21	$156.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $140.46 / $183.58	Professional		$98.64	$140.46	$183.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.36 / $100.20 / $130.96	Professional	26	$74.36	$100.20	$130.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $32.00 / $47.36	Professional	TC	$18.78	$32.00	$47.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $177.91 / $177.91 / $177.91	Facility	26	$177.91	$177.91	$177.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $124.24 / $702.18	Professional		$93.25	$124.24	$702.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $98.82 / $487.97	Professional	26	$69.33	$98.82	$487.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.15 / $214.27	Professional	TC	$19.05	$28.15	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $119.63 / $158.00	Professional		$87.77	$119.63	$158.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.33 / $93.81 / $125.91	Professional	26	$69.33	$93.81	$125.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.79 / $43.79	Professional	TC	$19.05	$28.79	$43.79