Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.21 / $92.33 / $129.25	Facility	26	$89.21	$92.33	$129.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $155.00 / $300.82	Professional		$128.16	$155.00	$300.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $82.87 / $178.26	Professional	26	$72.04	$82.87	$178.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.19 / $67.48 / $122.56	Professional	TC	$54.19	$67.48	$122.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $140.63 / $205.18	Professional		$111.78	$140.63	$205.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.75 / $82.75 / $107.94	Professional	26	$82.75	$82.75	$107.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.48 / $193.48 / $193.48	Professional		$193.48	$193.48	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $202.71 / $426.18	Professional		$134.76	$202.71	$426.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.45 / $113.21 / $250.05	Professional	26	$76.45	$113.21	$250.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.58 / $89.50 / $176.13	Professional	TC	$56.58	$89.50	$176.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.18 / $180.18 / $180.18	Facility	26	$180.18	$180.18	$180.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $195.57 / $874.03	Professional		$156.12	$195.57	$874.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.16 / $110.52 / $497.06	Professional	26	$87.16	$110.52	$497.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $85.05 / $376.97	Professional	TC	$68.95	$85.05	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $191.23 / $316.07	Professional		$150.51	$191.23	$316.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.64 / $103.60 / $197.34	Professional	26	$83.64	$103.60	$197.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.94 / $81.65 / $154.31	Professional	TC	$66.94	$81.65	$154.31