Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $75.86 / $87.10	Facility	26	$66.07	$75.86	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $281.84	Professional		$125.89	$158.49	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $50.12 / $89.13	Professional	26	$38.90	$50.12	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $107.15 / $158.49	Professional	TC	$81.28	$107.15	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $50.12 / $67.61	Professional	26	$43.65	$50.12	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $371.54	Professional		$123.03	$190.55	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $125.89	Professional	26	$43.65	$63.10	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $128.82 / $281.84	Professional	TC	$91.20	$128.82	$281.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $213.80	Facility	26	$102.33	$102.33	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $1,096.48	Professional		$138.04	$229.09	$1,096.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $66.07 / $446.68	Professional	26	$45.71	$66.07	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $169.82 / $870.96	Professional	TC	$93.33	$169.82	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $275.42	Professional		$138.04	$199.53	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $81.28	Professional	26	$45.71	$56.23	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $131.83 / $204.17	Professional	TC	$93.33	$131.83	$204.17