Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $97.72 / $112.20	Facility	26	$51.29	$97.72	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $190.55	Professional		$89.13	$112.20	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $114.82	Professional	26	$52.48	$64.57	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $44.67 / $74.13	Professional	TC	$28.84	$44.67	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $120.23	Professional		$83.18	$87.10	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $48.98 / $67.61	Professional	26	$41.69	$48.98	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $316.23	Professional		$89.13	$128.82	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $79.43 / $177.83	Professional	26	$61.66	$79.43	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $51.29 / $134.90	Professional	TC	$25.12	$51.29	$134.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $245.47	Facility	26	$128.82	$128.82	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $741.31	Professional		$93.33	$120.23	$741.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $354.81	Professional	26	$60.26	$81.28	$354.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $40.74 / $288.40	Professional	TC	$30.90	$40.74	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $158.49	Professional		$91.20	$109.65	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $74.13 / $104.71	Professional	26	$60.26	$74.13	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $37.15 / $60.26	Professional	TC	$29.51	$37.15	$60.26