Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $213.80	Professional		$40.74	$74.13	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $85.11	Professional	26	$33.11	$41.69	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $134.90	Professional	TC	$25.12	$30.90	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $37.15	Professional		$28.18	$30.20	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $35.48 / $42.66	Professional	26	$29.51	$35.48	$42.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $12.02 / $26.92	Professional	TC	$12.02	$12.02	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $309.03	Facility		$158.49	$234.42	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $85.11	Professional		$36.31	$61.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $194.98 / $302.00	Professional		$81.28	$194.98	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $89.13 / $128.82	Professional	26	$42.66	$89.13	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $134.90 / $177.83	Professional	TC	$30.90	$134.90	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $257.04 / $2,511.89	Facility		$64.57	$257.04	$2,511.89
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 $58.88 / $95.50 / $1,318.26	Professional		$58.88	$95.50	$1,318.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $70.79 / $630.96	Professional	26	$33.88	$70.79	$630.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $54.95 / $870.96	Professional	TC	$25.12	$54.95	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $616.60 / $1,659.59	Facility		$120.23	$616.60	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $263.03	Professional		$58.88	$83.18	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $48.98 / $97.72	Professional	26	$33.88	$48.98	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $162.18	Professional	TC	$25.12	$35.48	$162.18