Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.39 / $114.10 / $867.88	Facility		$67.39	$114.10	$867.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.53 / $58.48 / $113.15	Facility	26	$34.53	$58.48	$113.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $175.00 / $328.75	Professional		$61.27	$175.00	$328.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $34.53 / $174.63	Professional	26	$29.01	$34.53	$174.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $149.44 / $187.64	Professional	TC	$26.74	$149.44	$187.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $42.16 / $56.21	Professional		$36.54	$42.16	$56.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $35.00 / $49.84	Professional	26	$23.05	$35.00	$49.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $82.47 / $132.59	Facility		$19.97	$82.47	$132.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $54.52 / $68.15	Professional		$40.89	$54.52	$68.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $28.58 / $35.72	Professional	26	$21.44	$28.58	$35.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $25.94 / $32.42	Professional	TC	$19.45	$25.94	$32.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.32 / $544.94 / $689.39	Facility		$247.32	$544.94	$689.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $96.63 / $234.86	Professional		$48.82	$96.63	$234.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $37.28 / $61.64	Professional	26	$25.55	$37.28	$61.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $44.22 / $195.57	Professional	TC	$23.27	$44.22	$195.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $84.42 / $289.36	Facility		$56.21	$84.42	$289.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $261.98 / $261.98 / $261.98	Facility	26	$261.98	$261.98	$261.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $144.44 / $947.00	Professional		$58.47	$144.44	$947.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.50 / $35.43 / $368.00	Professional	26	$30.50	$35.43	$368.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $107.62 / $758.00	Professional	TC	$25.99	$107.62	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $89.26 / $206.61	Professional		$58.47	$89.26	$206.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.50 / $34.01 / $59.56	Professional	26	$30.50	$34.01	$59.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $38.17 / $173.59	Professional	TC	$25.99	$38.17	$173.59