Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $344.85 / $808.83	Facility		$162.22	$344.85	$808.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.27 / $35.90 / $56.43	Facility	26	$30.27	$35.90	$56.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $166.96 / $215.60	Professional		$162.21	$166.96	$215.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.25 / $35.90 / $46.81	Professional	26	$34.25	$35.90	$46.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.31 / $130.22 / $178.25	Professional	TC	$126.31	$130.22	$178.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.44 / $42.44 / $42.44	Professional	26	$42.44	$42.44	$42.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $246.40 / $356.94	Facility		$190.55	$246.40	$356.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $173.60 / $238.38	Professional		$39.44	$173.60	$238.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $142.80 / $310.39	Facility		$142.80	$142.80	$310.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.01 / $41.01 / $48.93	Facility	26	$41.01	$41.01	$48.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $237.74 / $328.23	Professional		$182.70	$237.74	$328.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $45.41 / $61.89	Professional	26	$35.00	$45.41	$61.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.66 / $196.72 / $280.83	Professional	TC	$141.66	$196.72	$280.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $228.38 / $422.65	Facility		$162.22	$228.38	$422.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $172.60 / $172.60	Facility	26	$87.37	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $240.00 / $1,459.71	Professional		$171.17	$240.00	$1,459.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $42.51 / $361.59	Professional	26	$32.63	$42.51	$361.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $131.87 / $228.05 / $1,274.61	Professional	TC	$131.87	$228.05	$1,274.61
United Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $209.27 / $345.41	Professional		$153.60	$209.27	$345.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $40.42 / $72.45	Professional	26	$32.34	$40.42	$72.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.84 / $171.29 / $289.97	Professional	TC	$128.84	$171.29	$289.97