Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $315.80 / $383.55	Facility		$116.07	$315.80	$383.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.47 / $63.25 / $73.68	Facility	26	$34.47	$63.25	$73.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $125.86 / $536.00	Professional		$105.79	$125.86	$536.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $22.82 / $54.74	Professional	26	$20.50	$22.82	$54.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.70 / $105.01 / $181.21	Professional	TC	$84.70	$105.01	$181.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $111.51 / $143.26	Professional		$111.51	$111.51	$143.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.18 / $511.10 / $851.68	Facility		$130.18	$511.10	$851.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $116.78 / $145.97	Professional		$87.58	$116.78	$145.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $23.02 / $28.77	Professional	26	$17.26	$23.02	$28.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.31 / $93.76 / $117.20	Professional	TC	$70.31	$93.76	$117.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.43 / $273.56 / $332.91	Facility		$224.43	$273.56	$332.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $166.68 / $264.24	Professional		$114.95	$166.68	$264.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.49 / $26.87 / $53.15	Professional	26	$21.49	$26.87	$53.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.28 / $140.01 / $218.03	Professional	TC	$92.28	$140.01	$218.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $147.44 / $259.45	Facility		$107.28	$147.44	$259.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $104.46 / $104.46	Facility	26	$53.90	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $175.00 / $1,013.21	Professional		$112.86	$175.00	$1,013.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.09 / $26.78 / $217.94	Professional	26	$21.09	$26.78	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.43 / $147.47 / $889.85	Professional	TC	$89.43	$147.47	$889.85
United Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $97.18 / $138.82	Facility		$19.12	$97.18	$138.82
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $159.94 / $260.00	Professional		$109.44	$159.94	$260.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $25.56 / $45.44	Professional	26	$20.49	$25.56	$45.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.72 / $134.49 / $210.15	Professional	TC	$86.72	$134.49	$210.15