Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $101.47 / $111.40	Professional		$85.19	$101.47	$111.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.30 / $72.53 / $80.18	Professional	26	$59.30	$72.53	$80.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $28.94 / $32.83	Professional	TC	$25.89	$28.94	$32.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $95.71 / $129.21	Professional		$95.71	$95.71	$129.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $81.81 / $141.18	Professional		$54.03	$81.81	$141.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $114.85 / $145.44	Professional		$72.34	$114.85	$145.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.88 / $87.61 / $121.52	Professional	26	$54.88	$87.61	$121.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $28.49 / $33.65	Professional	TC	$17.45	$28.49	$33.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $177.91 / $177.91 / $343.65	Facility	26	$177.91	$177.91	$343.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $105.28 / $196.69	Professional		$87.77	$105.28	$196.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.25 / $78.08 / $487.97	Professional	26	$65.25	$78.08	$487.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $23.92 / $214.27	Professional	TC	$16.77	$23.92	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $99.01 / $133.52	Professional		$82.28	$99.01	$133.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.25 / $73.94 / $104.48	Professional	26	$65.25	$73.94	$104.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $23.36 / $32.36	Professional	TC	$17.48	$23.36	$32.36