Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $83.18 / $87.10	Facility		$31.62	$83.18	$87.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $50.12	Facility	26	$47.86	$47.86	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $234.42	Professional		$56.23	$79.43	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $42.66 / $100.00	Professional	26	$33.11	$42.66	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $141.25	Professional	TC	$25.12	$32.36	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $66.07	Professional		$25.12	$30.20	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $42.66 / $50.12	Professional	26	$33.88	$42.66	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $134.90 / $154.88	Professional		$16.60	$134.90	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $309.03	Professional		$70.79	$102.33	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $154.88	Professional	26	$38.02	$56.23	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $42.66 / $194.98	Professional	TC	$28.18	$42.66	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $165.96 / $794.33	Facility		$60.26	$165.96	$794.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $194.98 / $1,318.26	Professional		$67.61	$194.98	$1,318.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $83.18 / $630.96	Professional	26	$38.90	$83.18	$630.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $114.82 / $870.96	Professional	TC	$28.84	$114.82	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $407.38 / $1,778.28	Facility		$117.49	$407.38	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $257.04	Professional		$67.61	$104.71	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $60.26 / $104.71	Professional	26	$39.81	$60.26	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $45.71 / $162.18	Professional	TC	$29.51	$45.71	$162.18