Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $84.36 / $84.36	Facility		$84.36	$84.36	$84.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $102.71 / $253.00	Professional		$58.82	$102.71	$253.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $55.15 / $91.96	Professional	26	$34.40	$55.15	$91.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.34 / $42.86 / $156.12	Professional	TC	$26.34	$42.86	$156.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $25.88 / $25.88	Professional		$25.88	$25.88	$25.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.14 / $217.82 / $360.78	Facility		$55.14	$217.82	$360.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $52.95 / $66.19	Professional		$39.71	$52.95	$66.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.54 / $30.05 / $37.56	Professional	26	$22.54	$30.05	$37.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $22.90 / $28.63	Professional	TC	$17.18	$22.90	$28.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.98 / $41.98 / $41.98	Facility	26	$41.98	$41.98	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $138.22 / $311.27	Professional		$60.46	$138.22	$311.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $71.61 / $119.35	Professional	26	$34.79	$71.61	$119.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.65 / $61.40 / $197.57	Professional	TC	$25.65	$61.40	$197.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $104.12 / $1,424.00	Facility		$60.28	$104.12	$1,424.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $133.40 / $323.94 / $323.94	Facility	26	$133.40	$323.94	$323.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $189.44 / $1,317.18	Professional		$65.28	$189.44	$1,317.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $75.48 / $638.00	Professional	26	$36.72	$75.48	$638.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.88 / $116.79 / $870.88	Professional	TC	$27.88	$116.79	$870.88
United Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $1,488.00 / $2,057.00	Facility		$133.41	$1,488.00	$2,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $168.64 / $233.52	Professional		$61.44	$168.64	$233.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.20 / $69.70 / $104.34	Professional	26	$35.20	$69.70	$104.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $73.23 / $149.52	Professional	TC	$27.06	$73.23	$149.52