Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $404.35 / $827.52	Facility		$94.88	$404.35	$827.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.76 / $25.92 / $40.14	Facility	26	$21.76	$25.92	$40.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $92.91 / $134.93	Professional		$84.95	$92.91	$134.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $23.04 / $40.14	Professional	26	$21.76	$23.04	$40.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.48 / $43.00 / $56.91	Professional	52	$42.48	$43.00	$56.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.19 / $69.86 / $103.70	Professional	TC	$63.19	$69.86	$103.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $108.89 / $120.48	Professional		$96.38	$108.89	$120.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $21.22 / $33.70	Professional	26	$19.78	$21.22	$33.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $246.40 / $356.94	Facility		$183.47	$246.40	$356.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $107.45 / $147.54	Professional		$28.01	$107.45	$147.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $90.65 / $123.91	Facility		$83.88	$90.65	$123.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $41.01	Facility	26	$25.15	$25.15	$41.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $101.50 / $157.02	Professional		$86.44	$101.50	$157.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.04 / $26.47 / $40.72	Professional	26	$22.04	$26.47	$40.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.45 / $75.02 / $124.06	Professional	TC	$65.45	$75.02	$124.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.86 / $139.75 / $294.00	Facility		$86.86	$139.75	$294.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $63.16 / $122.00 / $122.00	Facility	26	$63.16	$122.00	$122.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $122.99 / $726.73	Professional		$102.67	$122.99	$726.73
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.31 / $255.92	Professional	26	$25.12	$30.31	$255.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.29 / $91.89 / $554.94	Professional	TC	$76.29	$91.89	$554.94
United Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $212.68 / $251.23	Facility		$78.58	$212.68	$251.23
United Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $116.43 / $210.06	Professional		$100.31	$116.43	$210.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $28.77 / $43.97	Professional	26	$24.54	$28.77	$43.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.77 / $86.04 / $133.40	Professional	TC	$75.77	$86.04	$133.40