Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $141.96 / $772.80	Facility		$80.56	$141.96	$772.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.34 / $14.97 / $85.17	Facility	26	$12.34	$14.97	$85.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $95.67 / $107.04	Professional		$66.48	$95.67	$107.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $14.53 / $16.54	Professional	26	$10.15	$14.53	$16.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.34 / $75.52 / $91.76	Professional	TC	$56.34	$75.52	$91.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.51 / $241.08 / $349.21	Facility		$179.51	$241.08	$349.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $43.97 / $132.65	Professional		$15.05	$43.97	$132.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $167.23	Facility		$88.54	$88.54	$167.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.52 / $15.52 / $24.53	Facility	26	$15.52	$15.52	$24.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $84.51 / $128.88	Professional		$70.78	$84.51	$128.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.47 / $15.52 / $24.25	Professional	26	$13.47	$15.52	$24.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.26 / $69.25 / $107.98	Professional	TC	$55.26	$69.25	$107.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $100.51 / $305.04	Facility		$79.58	$100.51	$305.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $100.00 / $100.00	Facility	26	$36.72	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $103.05 / $687.89	Professional		$79.11	$103.05	$687.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.22 / $17.85 / $150.00	Professional	26	$14.22	$17.85	$150.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.48 / $79.70 / $591.79	Professional	TC	$62.48	$79.70	$591.79
United Facility/Professional Facility Modifier Low / Median / High Price $132.53 / $419.40 / $543.87	Facility		$132.53	$419.40	$543.87
United Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $93.50 / $148.47	Professional		$72.01	$93.50	$148.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.22 / $16.30 / $26.56	Professional	26	$14.22	$16.30	$26.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.79 / $78.18 / $123.44	Professional	TC	$57.79	$78.18	$123.44