Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $210.50 / $950.33	Facility		$43.36	$210.50	$950.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.04 / $40.38 / $69.44	Facility	26	$35.04	$40.38	$69.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $67.53 / $199.21	Professional		$54.72	$67.53	$199.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $33.88 / $44.69	Professional	26	$29.01	$33.88	$44.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.82 / $31.19 / $150.53	Professional	TC	$25.82	$31.19	$150.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $42.75 / $98.86	Professional		$42.75	$42.75	$98.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.45 / $27.43 / $32.27	Professional	26	$22.45	$27.43	$32.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $114.18 / $178.47	Facility		$84.79	$114.18	$178.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $83.79 / $83.79	Professional		$83.79	$83.79	$83.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $86.62 / $281.00	Professional		$48.39	$86.62	$281.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $40.21 / $57.62	Professional	26	$25.66	$40.21	$57.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $39.79 / $225.00	Professional	TC	$20.68	$39.79	$225.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $81.45 / $246.81	Facility		$55.49	$81.45	$246.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.14 / $261.98 / $261.98	Facility	26	$72.14	$261.98	$261.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $169.86 / $947.00	Professional		$58.47	$169.86	$947.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.10 / $39.89 / $368.00	Professional	26	$32.10	$39.89	$368.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $138.59 / $758.00	Professional	TC	$25.99	$138.59	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $83.12 / $203.61	Professional		$58.23	$83.12	$203.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.10 / $35.68 / $59.10	Professional	26	$32.10	$35.68	$59.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $31.64 / $152.44	Professional	TC	$25.42	$31.64	$152.44