Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $409.04 / $755.41	Facility		$140.44	$409.04	$755.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.95 / $41.74 / $102.72	Facility	26	$37.95	$41.74	$102.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $155.44 / $225.03	Professional		$139.41	$155.44	$225.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $42.03 / $61.49	Professional	26	$37.95	$42.03	$61.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.99 / $112.21 / $163.53	Professional	TC	$99.99	$112.21	$163.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $113.83 / $120.94	Professional		$89.98	$113.83	$120.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $39.95 / $45.09	Professional	26	$9.47	$39.95	$45.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $69.06 / $100.04	Facility		$50.72	$69.06	$100.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $154.00 / $211.46	Professional		$40.25	$154.00	$211.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $1,713.00 / $2,248.00	Facility		$1,713.00	$1,713.00	$2,248.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $206.98 / $289.98	Professional		$132.04	$206.98	$289.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $57.69 / $86.80	Professional	26	$40.79	$57.69	$86.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.21 / $146.71 / $203.19	Professional	TC	$90.21	$146.71	$203.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $161.44 / $298.72	Facility		$124.35	$161.44	$298.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $91.76 / $174.10 / $174.10	Facility	26	$91.76	$174.10	$174.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $197.83 / $1,023.12	Professional		$136.36	$197.83	$1,023.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.21 / $62.64 / $261.30	Professional	26	$36.21	$62.64	$261.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $107.36 / $161.22 / $767.60	Professional	TC	$107.36	$161.22	$767.60
United Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $190.04 / $320.64	Professional		$143.57	$190.04	$320.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.21 / $58.48 / $85.73	Professional	26	$36.21	$58.48	$85.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.84 / $144.59 / $230.02	Professional	TC	$104.84	$144.59	$230.02