Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.50 / $1,385.50 / $1,385.50	Facility		$1,385.50	$1,385.50	$1,385.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $81.30 / $173.51	Professional		$68.15	$81.30	$173.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $26.83 / $92.56	Professional	26	$20.23	$26.83	$92.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.11 / $54.76 / $85.06	Professional	TC	$45.11	$54.76	$85.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $44.79 / $86.28	Professional		$43.14	$44.79	$86.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $16.57 / $33.31	Professional	26	$12.81	$16.57	$33.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.33 / $30.33 / $30.33	Professional	TC	$30.33	$30.33	$30.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $104.50 / $144.63	Professional		$102.68	$104.50	$144.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $90.50 / $167.58	Professional		$43.56	$90.50	$167.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $28.18 / $54.70	Professional	26	$14.50	$28.18	$54.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.06 / $62.31 / $112.87	Professional	TC	$29.06	$62.31	$112.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $93.52 / $115.44	Facility		$71.66	$93.52	$115.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $94.19 / $559.76	Professional		$63.02	$94.19	$559.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $34.47 / $173.52	Professional	26	$20.63	$34.47	$173.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $64.61 / $386.24	Professional	TC	$42.39	$64.61	$386.24
United Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $91.17 / $124.81	Professional		$60.76	$91.17	$124.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $29.59 / $41.43	Professional	26	$17.75	$29.59	$41.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.76 / $63.50 / $85.63	Professional	TC	$38.76	$63.50	$85.63