Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $147.83 / $936.30	Facility		$99.20	$147.83	$936.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.89 / $21.08 / $34.68	Facility	26	$17.89	$21.08	$34.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $99.09 / $120.02	Professional		$81.59	$99.09	$120.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $15.37 / $23.71	Professional	26	$14.19	$15.37	$23.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $84.17 / $101.53	Professional	TC	$67.40	$84.17	$101.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $16.53 / $16.53	Professional	26	$11.49	$16.53	$16.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.93 / $406.06 / $597.33	Facility		$296.93	$406.06	$597.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $127.89 / $127.89	Professional		$127.89	$127.89	$127.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.07 / $303.37 / $912.30	Facility		$157.07	$303.37	$912.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $117.54 / $183.75	Professional		$66.90	$117.54	$183.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $22.14 / $29.43	Professional	26	$13.07	$22.14	$29.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.37 / $98.40 / $155.74	Professional	TC	$60.37	$98.40	$155.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.09 / $121.68 / $193.01	Facility		$99.09	$121.68	$193.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $36.72 / $100.00	Facility	26	$36.72	$36.72	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $108.78 / $687.89	Professional		$86.83	$108.78	$687.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $20.42 / $150.00	Professional	26	$16.23	$20.42	$150.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $70.59 / $90.52 / $591.79	Professional	TC	$70.59	$90.52	$591.79
United Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $181.91 / $483.44	Facility		$139.09	$181.91	$483.44
United Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $98.20 / $158.22	Professional		$86.83	$98.20	$158.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $18.26 / $30.16	Professional	26	$16.23	$18.26	$30.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.72 / $81.29 / $137.22	Professional	TC	$69.72	$81.29	$137.22