Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $347.00 / $955.93	Facility		$115.58	$347.00	$955.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.43 / $45.56 / $71.31	Facility	26	$38.43	$45.56	$71.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $122.62 / $154.25	Professional		$107.06	$122.62	$154.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.71 / $51.79	Professional	26	$34.67	$43.71	$51.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.11 / $87.95 / $105.93	Professional	TC	$73.11	$87.95	$105.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $82.52 / $190.83	Professional		$82.52	$82.52	$190.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.32 / $28.41 / $40.71	Professional	26	$28.32	$28.41	$40.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.20 / $57.59 / $88.08	Professional	TC	$54.20	$57.59	$88.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $143.93 / $335.02	Facility		$88.00	$143.93	$335.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.64 / $185.64 / $185.64	Professional		$185.64	$185.64	$185.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.65 / $146.36 / $455.25	Facility		$129.65	$146.36	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $154.50 / $215.00	Professional		$95.57	$154.50	$215.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $50.38 / $79.00	Professional	26	$32.36	$50.38	$79.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.14 / $104.12 / $144.00	Professional	TC	$64.14	$104.12	$144.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.10 / $154.05 / $246.15	Facility		$111.10	$154.05	$246.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $172.60 / $172.60	Facility	26	$90.38	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $150.46 / $760.68	Professional		$125.04	$150.46	$760.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $51.32 / $303.79	Professional	26	$38.53	$51.32	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.13 / $102.96 / $518.02	Professional	TC	$83.13	$102.96	$518.02
United Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $134.00 / $218.52	Professional		$121.47	$134.00	$218.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.77 / $46.05 / $71.16	Professional	26	$39.77	$46.05	$71.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.55 / $91.72 / $149.58	Professional	TC	$81.55	$91.72	$149.58