Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $95.69 / $840.67	Facility		$42.44	$95.69	$840.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.65 / $35.75 / $47.97	Facility	26	$24.65	$35.75	$47.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $48.27 / $201.18	Professional		$44.57	$48.27	$201.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.35 / $25.70 / $44.84	Professional	26	$24.35	$25.70	$44.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $23.03 / $150.53	Professional	TC	$20.22	$23.03	$150.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $55.93 / $55.93	Professional		$55.93	$55.93	$55.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.00 / $33.31 / $43.06	Professional	26	$24.00	$33.31	$43.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $75.78 / $109.77	Facility		$58.60	$75.78	$109.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $54.60 / $74.97	Professional		$31.11	$54.60	$74.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $132.81 / $188.49	Facility		$87.60	$132.81	$188.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.88 / $30.88 / $49.42	Facility	26	$30.88	$30.88	$49.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $82.36 / $179.93	Professional		$48.39	$82.36	$179.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.22 / $30.82 / $48.20	Professional	26	$26.22	$30.82	$48.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $38.07 / $148.55	Professional	TC	$20.68	$38.07	$148.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $86.39 / $286.07	Facility		$45.57	$86.39	$286.07
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 $52.62 / $81.65 / $947.00	Professional		$52.62	$81.65	$947.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.26 / $35.43 / $368.00	Professional	26	$28.26	$35.43	$368.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.61 / $49.48 / $758.00	Professional	TC	$22.61	$49.48	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $64.31 / $193.02	Professional		$49.70	$64.31	$193.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.61 / $34.69 / $49.53	Professional	26	$27.61	$34.69	$49.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $29.89 / $157.59	Professional	TC	$22.09	$29.89	$157.59