Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.93 / $209.96 / $874.00	Facility		$97.93	$209.96	$874.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $38.70 / $51.59	Facility	26	$16.55	$38.70	$51.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $134.71 / $239.72	Professional		$119.81	$134.71	$239.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $23.04 / $38.70	Professional	26	$13.05	$23.04	$38.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.13 / $119.04 / $215.36	Professional	TC	$99.13	$119.04	$215.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $113.84 / $143.93	Professional		$113.84	$113.84	$143.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.49 / $456.72 / $480.76	Facility		$312.49	$456.72	$480.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.26 / $185.26 / $185.26	Professional		$185.26	$185.26	$185.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.68 / $129.65 / $237.87	Facility		$119.68	$129.65	$237.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $215.60 / $354.33	Professional		$133.02	$215.60	$354.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $27.22 / $42.21	Professional	26	$16.48	$27.22	$42.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.30 / $187.58 / $281.20	Professional	TC	$112.30	$187.58	$281.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $163.57 / $305.50	Facility		$121.83	$163.57	$305.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.96 / $102.96 / $102.96	Facility	26	$102.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $242.60 / $1,197.25	Professional		$159.94	$242.60	$1,197.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $31.92 / $198.13	Professional	26	$15.78	$31.92	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $135.99 / $217.12 / $1,126.14	Professional	TC	$135.99	$217.12	$1,126.14
United Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $203.18 / $313.55	Professional		$152.77	$203.18	$313.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $28.18 / $46.14	Professional	26	$15.47	$28.18	$46.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.80 / $171.96 / $286.45	Professional	TC	$128.80	$171.96	$286.45