Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.40 / $397.44 / $397.44	Facility		$179.40	$397.44	$397.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.00 / $12.00 / $35.27	Facility	26	$12.00	$12.00	$35.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $120.21 / $163.93	Professional		$108.66	$120.21	$163.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $21.38 / $30.63	Professional	26	$11.77	$21.38	$30.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.84 / $102.06 / $140.91	Professional	TC	$87.84	$102.06	$140.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $162.30 / $162.30	Professional		$162.30	$162.30	$162.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.24 / $22.24 / $22.24	Professional	26	$22.24	$22.24	$22.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.08 / $207.07 / $59,999.99	Facility		$195.08	$207.07	$59,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $116.02 / $193.20	Professional		$23.45	$116.02	$193.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $90.84 / $90.84	Facility		$90.84	$90.84	$90.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $192.18 / $296.10	Professional		$140.69	$192.18	$296.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $23.89 / $38.29	Professional	26	$14.69	$23.89	$38.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.97 / $170.53 / $270.45	Professional	TC	$117.97	$170.53	$270.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $148.46 / $282.08	Facility		$106.00	$148.46	$282.08
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 $126.87 / $175.22 / $1,197.25	Professional		$126.87	$175.22	$1,197.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $25.62 / $198.13	Professional	26	$15.37	$25.62	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $110.23 / $166.01 / $1,126.14	Professional	TC	$110.23	$166.01	$1,126.14
United Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $166.35 / $279.16	Professional		$126.74	$166.35	$279.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.65 / $24.34 / $38.94	Professional	26	$14.65	$24.34	$38.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.24 / $139.44 / $252.27	Professional	TC	$106.24	$139.44	$252.27