Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $213.65 / $233.68	Facility		$69.80	$213.65	$233.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.10 / $58.77 / $101.73	Facility	26	$51.10	$58.77	$101.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $142.66 / $216.23	Professional		$103.83	$142.66	$216.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.86 / $66.29 / $84.79	Professional	26	$56.86	$66.29	$84.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $51.92 / $71.33 / $77.37	Professional	52	$51.92	$71.33	$77.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.97 / $62.85 / $162.66	Professional	TC	$46.97	$62.85	$162.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.29 / $64.06 / $75.36	Professional	26	$60.29	$64.06	$75.36
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 $81.90 / $149.44 / $205.22	Professional		$81.90	$149.44	$205.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.91 / $233.64 / $1,878.39	Facility		$68.91	$233.64	$1,878.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.09 / $53.09 / $85.26	Facility	26	$53.09	$53.09	$85.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $186.42 / $345.14	Professional		$128.19	$186.42	$345.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $71.59 / $109.47	Professional	26	$51.94	$71.59	$109.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.84 / $108.70 / $228.37	Professional	TC	$55.84	$108.70	$228.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.26 / $216.24 / $2,025.75	Facility		$118.26	$216.24	$2,025.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $188.75 / $366.35 / $366.35	Facility	26	$188.75	$366.35	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $210.50 / $3,102.49	Professional		$142.41	$210.50	$3,102.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.09 / $84.00 / $551.37	Professional	26	$56.09	$84.00	$551.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.44 / $118.01 / $2,808.09	Professional	TC	$68.44	$118.01	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $200.51 / $386.58	Professional		$142.03	$200.51	$386.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.79 / $79.92 / $129.76	Professional	26	$52.79	$79.92	$129.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.87 / $90.47 / $330.49	Professional	TC	$66.87	$90.47	$330.49