Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $87.10 / $407.38	Professional		$38.90	$87.10	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $169.82	Professional	26	$33.11	$46.77	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $165.96	Professional	TC	$25.12	$33.88	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $42.66	Professional		$24.55	$32.36	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $34.67 / $45.71	Professional	26	$29.51	$34.67	$45.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.14 / $22.91	Professional	TC	$12.02	$15.14	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $177.83 / $263.03	Facility		$54.95	$177.83	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $104.71	Professional		$46.77	$56.23	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $31.62 / $60.26	Professional	26	$26.30	$31.62	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.99 / $45.71	Professional	TC	$19.95	$23.99	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $138.04 / $309.03	Professional		$63.10	$138.04	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $70.79 / $123.03	Professional	26	$35.48	$70.79	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $57.54 / $199.53	Professional	TC	$28.18	$57.54	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $117.49 / $1,905.46	Facility		$60.26	$117.49	$1,905.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $323.59 / $323.59	Facility	26	$134.90	$323.59	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $190.55 / $1,318.26	Professional		$69.18	$190.55	$1,318.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $79.43 / $630.96	Professional	26	$39.81	$79.43	$630.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $114.82 / $870.96	Professional	TC	$29.51	$114.82	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,202.26 / $2,187.76	Facility		$134.90	$1,202.26	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $165.96 / $263.03	Professional		$63.10	$165.96	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $70.79 / $107.15	Professional	26	$36.31	$70.79	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $97.72 / $162.18	Professional	TC	$26.92	$97.72	$162.18