Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.11 / $59.11 / $71.08	Facility	26	$59.11	$59.11	$71.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $99.97 / $147.30	Professional		$68.61	$99.97	$147.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.29 / $73.47	Professional	26	$37.15	$50.29	$73.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.35 / $50.71 / $73.83	Professional	TC	$27.35	$50.71	$73.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $35.04 / $35.04	Professional	26	$35.04	$35.04	$35.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $113.72 / $113.72	Professional		$90.98	$113.72	$113.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $110.60 / $166.55	Professional		$73.81	$110.60	$166.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.41 / $64.23 / $106.80	Professional	26	$49.41	$64.23	$106.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $46.04 / $84.49	Professional	TC	$25.20	$46.04	$84.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $95.51 / $204.09	Facility	26	$95.51	$95.51	$204.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $100.83 / $676.25	Professional		$78.31	$100.83	$676.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.24 / $61.92 / $271.97	Professional	26	$46.24	$61.92	$271.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.26 / $39.29 / $290.20	Professional	TC	$30.26	$39.29	$290.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $95.49 / $147.72	Professional		$74.39	$95.49	$147.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.57 / $57.82 / $90.63	Professional	26	$44.57	$57.82	$90.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $37.83 / $61.40	Professional	TC	$28.57	$37.83	$61.40