Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $118.84 / $146.81	Facility		$77.33	$118.84	$146.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.37 / $19.37 / $41.80	Facility	26	$19.37	$19.37	$41.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $85.12 / $146.81	Professional		$58.44	$85.12	$146.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.37 / $19.07 / $41.80	Professional	26	$16.37	$19.07	$41.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $60.89 / $122.46	Professional	TC	$42.07	$60.89	$122.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $58.85 / $58.85	Professional		$58.85	$58.85	$58.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $70.70 / $111.26	Facility		$52.00	$70.70	$111.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $151.99 / $151.99	Professional		$151.99	$151.99	$151.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $679.11 / $912.51	Facility		$303.33	$679.11	$912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $128.83 / $269.63	Professional		$63.05	$128.83	$269.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $28.02 / $58.46	Professional	26	$17.76	$28.02	$58.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.91 / $96.22 / $216.68	Professional	TC	$45.91	$96.22	$216.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $107.02 / $337.26	Facility		$64.44	$107.02	$337.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $42.01 / $42.01 / $42.01	Facility	26	$42.01	$42.01	$42.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $133.38 / $803.55	Professional		$74.64	$133.38	$803.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $24.91 / $416.07	Professional	26	$19.63	$24.91	$416.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.59 / $107.57 / $567.25	Professional	TC	$53.59	$107.57	$567.25
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $112.10 / $169.23	Professional		$71.23	$112.10	$169.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $23.59 / $44.37	Professional	26	$19.16	$23.59	$44.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.15 / $96.31 / $131.56	Professional	TC	$51.15	$96.31	$131.56