Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $98.85 / $143.88	Professional		$79.26	$98.85	$143.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.89 / $53.95 / $75.97	Professional	TC	$39.89	$53.95	$75.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $64.59 / $84.43	Professional		$64.59	$64.59	$84.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $80.98 / $101.23	Professional		$60.74	$80.98	$101.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.10 / $40.14 / $50.17	Professional	TC	$30.10	$40.14	$50.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.06 / $52.06 / $52.06	Facility	26	$52.06	$52.06	$52.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $118.59 / $212.21	Professional		$79.06	$118.59	$212.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $58.15 / $103.68	Professional	TC	$32.65	$58.15	$103.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $106.02 / $202.83 / $202.83	Facility	26	$106.02	$202.83	$202.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $103.63 / $646.83	Professional		$80.18	$103.63	$646.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.95 / $54.00 / $354.71	Professional	TC	$35.95	$54.00	$354.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $96.10 / $184.64	Professional		$75.95	$96.10	$184.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $50.76 / $92.77	Professional	TC	$35.11	$50.76	$92.77