Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.35 / $355.35 / $712.44	Facility		$355.35	$355.35	$712.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.96 / $49.96 / $49.96	Facility	26	$49.96	$49.96	$49.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $93.43 / $150.52	Professional		$60.06	$93.43	$150.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.83 / $17.10 / $25.46	Professional	26	$14.83	$17.10	$25.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.33 / $69.53 / $128.08	Professional	TC	$43.33	$69.53	$128.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $62.65 / $125.30	Professional		$53.25	$62.65	$125.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $333.73 / $552.76	Facility		$84.49	$333.73	$552.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $60.30 / $75.38	Professional		$45.23	$60.30	$75.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $16.48 / $20.60	Professional	26	$12.36	$16.48	$20.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $43.82 / $54.78	Professional	TC	$32.86	$43.82	$54.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $75.31 / $1,293.95	Facility		$75.31	$75.31	$1,293.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.65 / $20.65 / $20.65	Facility	26	$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $113.35 / $182.66	Professional		$64.98	$113.35	$182.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $23.85 / $45.73	Professional	26	$16.48	$23.85	$45.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.96 / $86.51 / $153.80	Professional	TC	$46.96	$86.51	$153.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $74.13 / $151.72	Facility		$60.14	$74.13	$151.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $42.01 / $134.26 / $134.26	Facility	26	$42.01	$134.26	$134.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $117.12 / $803.55	Professional		$63.92	$117.12	$803.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $20.23 / $416.07	Professional	26	$16.12	$20.23	$416.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.90 / $96.57 / $567.25	Professional	TC	$45.90	$96.57	$567.25
United Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $105.84 / $169.20	Professional		$62.04	$105.84	$169.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $18.62 / $38.34	Professional	26	$16.10	$18.62	$38.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.55 / $86.21 / $138.33	Professional	TC	$44.55	$86.21	$138.33