Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.50 / $290.77 / $736.45	Facility		$126.50	$290.77	$736.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.91 / $32.28 / $61.06	Facility	26	$26.91	$32.28	$61.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $110.36 / $133.56	Professional		$67.84	$110.36	$133.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.78 / $25.87 / $36.08	Professional	26	$23.78	$25.87	$36.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $84.49 / $101.90	Professional	TC	$44.04	$84.49	$101.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $28.11 / $28.11	Professional	26	$28.11	$28.11	$28.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.45 / $371.68 / $548.11	Facility		$272.45	$371.68	$548.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $139.51 / $139.51	Professional		$139.51	$139.51	$139.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $121.29 / $192.25	Professional		$85.12	$121.29	$192.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $35.21 / $50.07	Professional	26	$23.82	$35.21	$50.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.10 / $88.88 / $146.16	Professional	TC	$61.10	$88.88	$146.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.43 / $107.16 / $172.75	Facility		$93.43	$107.16	$172.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $62.05 / $62.05 / $62.05	Facility	26	$62.05	$62.05	$62.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $109.58 / $752.82	Professional		$76.02	$109.58	$752.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.94 / $32.54 / $169.69	Professional	26	$24.94	$32.54	$169.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.96 / $80.56 / $583.14	Professional	TC	$47.96	$80.56	$583.14
United Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $115.12 / $205.44	Professional		$78.41	$115.12	$205.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $29.01 / $50.59	Professional	26	$25.66	$29.01	$50.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.96 / $79.00 / $140.44	Professional	TC	$47.96	$79.00	$140.44