Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $464.12 / $643.14	Facility		$62.92	$464.12	$643.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.57 / $51.21 / $108.47	Facility	26	$37.57	$51.21	$108.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $117.53 / $479.75	Professional		$74.89	$117.53	$479.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $28.94 / $148.00	Professional	26	$24.75	$28.94	$148.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.89 / $90.02 / $161.88	Professional	TC	$49.89	$90.02	$161.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $80.87 / $80.87	Professional		$80.87	$80.87	$80.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.23 / $25.23 / $25.23	Professional	26	$25.23	$25.23	$25.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $277.54 / $457.24	Facility		$69.89	$277.54	$457.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $118.14 / $147.66	Professional		$88.60	$118.14	$147.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $27.37 / $34.21	Professional	26	$20.53	$27.37	$34.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.08 / $90.77 / $113.46	Professional	TC	$68.08	$90.77	$113.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $157.21 / $189.41	Facility		$130.47	$157.21	$189.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $107.43 / $170.76	Professional		$71.62	$107.43	$170.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.64 / $30.84 / $47.70	Professional	26	$22.64	$30.84	$47.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.69 / $76.06 / $123.06	Professional	TC	$46.69	$76.06	$123.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $129.28 / $211.33	Facility		$96.13	$129.28	$211.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.05 / $62.05 / $136.28	Facility	26	$62.05	$62.05	$136.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $110.07 / $752.82	Professional		$71.16	$110.07	$752.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $28.51 / $169.69	Professional	26	$25.02	$28.51	$169.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.36 / $81.56 / $583.14	Professional	TC	$45.36	$81.56	$583.14
United Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $110.07 / $170.28	Professional		$70.69	$110.07	$170.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $28.51 / $51.32	Professional	26	$25.02	$28.51	$51.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.10 / $81.56 / $149.56	Professional	TC	$44.10	$81.56	$149.56