Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $377.02 / $484.29	Facility		$81.20	$377.02	$484.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.26 / $47.35 / $64.29	Facility	26	$21.26	$47.35	$64.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $99.56 / $185.93	Professional		$77.76	$99.56	$185.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $15.04 / $39.71	Professional	26	$12.48	$15.04	$39.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.13 / $77.20 / $149.21	Professional	TC	$60.13	$77.20	$149.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $27.51 / $35.15	Professional	26	$11.72	$27.51	$35.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $234.69 / $389.46	Facility		$59.53	$234.69	$389.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $89.55 / $111.94	Professional		$78.36	$89.55	$111.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $12.24 / $16.45	Professional	26	$10.71	$12.24	$16.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.65 / $77.31 / $96.64	Professional	TC	$67.65	$77.31	$96.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.12 / $509.25 / $717.25	Facility		$210.12	$509.25	$717.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $109.21 / $181.73	Professional		$78.63	$109.21	$181.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $19.46 / $33.21	Professional	26	$13.08	$19.46	$33.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.59 / $89.28 / $148.53	Professional	TC	$63.59	$89.28	$148.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $115.18 / $219.44	Facility		$89.42	$115.18	$219.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $98.89 / $687.89	Professional		$82.50	$98.89	$687.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $17.32 / $150.00	Professional	26	$15.49	$17.32	$150.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.19 / $82.29 / $591.79	Professional	TC	$67.19	$82.29	$591.79
United Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $75.91 / $206.10	Facility		$16.32	$75.91	$206.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $98.89 / $160.12	Professional		$81.99	$98.89	$160.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $16.60 / $30.44	Professional	26	$15.33	$16.60	$30.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.03 / $82.29 / $136.72	Professional	TC	$66.03	$82.29	$136.72