Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.90 / $73.90 / $101.27	Facility	26	$73.90	$73.90	$101.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $133.78 / $182.41	Professional		$124.79	$133.78	$182.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $75.44 / $84.88	Professional	26	$72.04	$75.44	$84.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.89 / $54.51 / $68.64	Professional	TC	$50.89	$54.51	$68.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $141.08 / $249.62	Professional		$111.19	$141.08	$249.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.20 / $100.23 / $127.40	Professional	26	$67.20	$100.23	$127.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $135.10 / $185.51	Professional		$77.34	$135.10	$185.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $148.11 / $217.39	Professional		$83.69	$148.11	$217.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.40 / $105.26 / $128.72	Professional	26	$70.40	$105.26	$128.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.73 / $78.55 / $94.27	Professional	TC	$49.73	$78.55	$94.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.18 / $351.19 / $351.19	Facility	26	$180.18	$351.19	$351.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $167.73 / $874.03	Professional		$126.39	$167.73	$874.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $95.76 / $497.06	Professional	26	$70.56	$95.76	$497.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $55.83 / $75.53 / $376.97	Professional	TC	$55.83	$75.53	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $158.11 / $266.57	Professional		$126.39	$158.11	$266.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $87.16 / $158.80	Professional	26	$70.56	$87.16	$158.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.68 / $68.95 / $117.75	Professional	TC	$54.68	$68.95	$117.75