Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $288.40 / $741.31	Facility		$128.82	$288.40	$741.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $32.36 / $58.88	Facility	26	$27.54	$32.36	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $288.40	Professional		$72.44	$120.23	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $66.07	Professional	26	$22.91	$30.20	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $87.10 / $128.82	Professional	TC	$54.95	$87.10	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $107.15	Professional		$69.18	$89.13	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.70 / $36.31	Professional	26	$19.50	$25.70	$36.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	TC	$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $354.81 / $389.05	Facility		$281.84	$354.81	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $177.83	Professional		$85.11	$100.00	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.18 / $50.12	Professional	26	$22.39	$28.18	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $74.13 / $131.83	Professional	TC	$61.66	$74.13	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $173.78	Facility		$93.33	$128.82	$173.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $758.58	Professional		$70.79	$107.15	$758.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.84 / $169.82	Professional	26	$25.12	$28.84	$169.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $77.62 / $588.84	Professional	TC	$46.77	$77.62	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $147.91	Professional		$70.79	$104.71	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.18 / $40.74	Professional	26	$25.12	$28.18	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $77.62 / $107.15	Professional	TC	$46.77	$77.62	$107.15