Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $158.72 / $468.51	Facility		$99.43	$158.72	$468.51
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.45 / $35.71	Facility	26	$20.05	$20.45	$35.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $109.13 / $141.38	Professional		$105.06	$109.13	$141.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $22.47 / $29.77	Professional	26	$21.23	$22.47	$29.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.06 / $86.20 / $112.90	Professional	TC	$83.06	$86.20	$112.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $102.17 / $102.17	Professional		$102.17	$102.17	$102.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.05 / $29.05 / $29.05	Professional	26	$29.05	$29.05	$29.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $246.40 / $356.94	Facility		$183.47	$246.40	$356.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $112.00 / $153.79	Professional		$23.10	$112.00	$153.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.97 / $94.54 / $187.20	Facility		$93.97	$94.54	$187.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.49 / $27.49 / $32.95	Facility	26	$27.49	$27.49	$32.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $159.00 / $228.83	Professional		$118.52	$159.00	$228.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.59 / $29.70 / $38.67	Professional	26	$22.59	$29.70	$38.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.55 / $134.79 / $196.84	Professional	TC	$93.55	$134.79	$196.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.06 / $148.15 / $252.56	Facility		$105.06	$148.15	$252.56
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 $111.09 / $158.69 / $1,013.21	Professional		$111.09	$158.69	$1,013.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.48 / $27.93 / $217.94	Professional	26	$21.48	$27.93	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $85.40 / $150.19 / $889.85	Professional	TC	$85.40	$150.19	$889.85
United Facility/Professional Facility Modifier Low / Median / High Price $110.74 / $152.91 / $202.05	Facility		$110.74	$152.91	$202.05
United Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $138.21 / $234.90	Professional		$104.92	$138.21	$234.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $25.26 / $41.82	Professional	26	$20.21	$25.26	$41.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.44 / $112.89 / $190.45	Professional	TC	$83.44	$112.89	$190.45