Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $122.73 / $278.43	Professional		$98.04	$122.73	$278.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $14.66 / $34.03	Professional	26	$13.62	$14.66	$34.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.24 / $108.07 / $244.40	Professional	TC	$84.24	$108.07	$244.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $108.42 / $108.42	Professional		$108.42	$108.42	$108.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $17.76 / $17.76	Professional	26	$17.76	$17.76	$17.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $120.54	Professional		$120.54	$120.54	$120.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $145.35 / $191.93	Professional		$80.55	$145.35	$191.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $18.98 / $34.00	Professional	26	$14.30	$18.98	$34.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.98 / $122.49 / $162.59	Professional	TC	$70.98	$122.49	$162.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $119.36 / $800.25	Professional		$90.94	$119.36	$800.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $18.30 / $135.38	Professional	26	$13.19	$18.30	$135.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.28 / $100.09 / $706.26	Professional	TC	$75.28	$100.09	$706.26
United Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $124.91 / $177.55	Professional		$91.07	$124.91	$177.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $18.02 / $24.42	Professional	26	$13.19	$18.02	$24.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.64 / $100.09 / $152.69	Professional	TC	$74.64	$100.09	$152.69