Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $58.10 / $88.09	Facility		$58.10	$58.10	$88.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $17.16 / $17.16	Facility	26	$16.57	$17.16	$17.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $61.18 / $139.19	Professional		$58.10	$61.18	$139.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.37 / $17.35 / $19.77	Professional	26	$16.37	$17.35	$19.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.93 / $43.83 / $122.46	Professional	TC	$40.93	$43.83	$122.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $29.69 / $29.69	Professional	26	$29.69	$29.69	$29.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $214.26 / $310.37	Facility		$159.54	$214.26	$310.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $62.30 / $85.55	Professional		$18.20	$62.30	$85.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.87 / $169.21 / $1,128.18	Facility		$168.87	$169.21	$1,128.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $105.91 / $203.05	Professional		$59.68	$105.91	$203.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $24.02 / $30.50	Professional	26	$16.39	$24.02	$30.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.11 / $87.55 / $176.97	Professional	TC	$48.11	$87.55	$176.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $77.14 / $192.45	Facility		$50.59	$77.14	$192.45
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 $59.03 / $106.02 / $803.55	Professional		$59.03	$106.02	$803.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $21.41 / $416.07	Professional	26	$16.26	$21.41	$416.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.41 / $94.24 / $567.25	Professional	TC	$41.41	$94.24	$567.25
United Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $94.99 / $136.71	Professional		$57.67	$94.99	$136.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $20.09 / $34.29	Professional	26	$16.26	$20.09	$34.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.41 / $65.59 / $114.17	Professional	TC	$41.41	$65.59	$114.17