Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $457.09 / $912.01	Facility		$95.50	$457.09	$912.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $32.36 / $36.31	Facility	26	$20.89	$32.36	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $257.04	Professional		$114.82	$134.90	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $52.48	Professional	26	$19.95	$25.12	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $112.20 / $190.55	Professional	TC	$93.33	$112.20	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $239.88	Professional		$104.71	$141.25	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.38 / $30.90	Professional	26	$16.98	$21.38	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $588.84	Facility		$302.00	$446.68	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $138.04 / $190.55	Professional		$22.91	$138.04	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $223.87	Facility		$120.23	$120.23	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $29.51	Facility	26	$24.55	$24.55	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $275.42	Professional		$128.82	$194.98	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $38.02	Professional	26	$19.05	$26.92	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $173.78 / $245.47	Professional	TC	$117.49	$173.78	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $263.03	Facility		$112.20	$151.36	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $162.18 / $162.18	Facility	26	$52.48	$162.18	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $1,230.27	Professional		$128.82	$181.97	$1,230.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.30 / $239.88	Professional	26	$20.89	$26.30	$239.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $181.97 / $1,122.02	Professional	TC	$109.65	$181.97	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $165.96 / $269.15	Facility		$45.71	$165.96	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $275.42	Professional		$123.03	$162.18	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $24.55 / $38.02	Professional	26	$19.95	$24.55	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $134.90 / $239.88	Professional	TC	$102.33	$134.90	$239.88