Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $82.43 / $111.04	Facility	26	$79.31	$82.43	$111.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $116.42 / $172.23	Professional		$80.15	$116.42	$172.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.96 / $66.09 / $98.96	Professional	26	$49.96	$66.09	$98.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.10 / $50.32 / $73.27	Professional	TC	$28.10	$50.32	$73.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $81.47 / $113.88	Professional		$81.47	$81.47	$113.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.51 / $47.51 / $58.74	Professional	26	$47.51	$47.51	$58.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $133.75 / $133.75	Professional		$107.00	$133.75	$133.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $130.21 / $270.44	Professional		$88.91	$130.21	$270.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.40 / $83.80 / $126.14	Professional	26	$63.40	$83.80	$126.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $50.97 / $83.84	Professional	TC	$25.98	$50.97	$83.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $129.41 / $248.27	Facility	26	$129.41	$129.41	$248.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $116.95 / $746.58	Professional		$93.83	$116.95	$746.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.16 / $78.15 / $352.29	Professional	26	$60.16	$78.15	$352.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $40.43 / $288.04	Professional	TC	$30.73	$40.43	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $114.68 / $171.03	Professional		$91.02	$114.68	$171.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.91 / $75.06 / $137.69	Professional	26	$59.91	$75.06	$137.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.35 / $37.79 / $83.06	Professional	TC	$29.35	$37.79	$83.06