Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.07 / $3,506.00 / $10,439.00	Facility		$1,410.07	$3,506.00	$10,439.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.25 / $171.25 / $201.32	Facility	26	$171.25	$171.25	$201.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $437.97 / $615.53	Professional		$341.43	$437.97	$615.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.31 / $142.71 / $201.32	Professional	26	$127.31	$142.71	$201.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $295.25 / $414.21	Professional	TC	$214.11	$295.25	$414.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $130.66 / $130.66 / $130.66	Professional	26	$130.66	$130.66	$130.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.99 / $521.16 / $521.16	Professional		$442.99	$521.16	$521.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $515.00 / $695.28	Professional		$362.46	$515.00	$695.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.59 / $184.00 / $261.04	Professional	26	$120.59	$184.00	$261.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.65 / $333.00 / $445.25	Professional	TC	$211.65	$333.00	$445.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $523.20 / $1,743.00	Facility		$55.00	$523.20	$1,743.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $319.48 / $319.48 / $319.48	Facility	26	$319.48	$319.48	$319.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.91 / $450.69 / $2,844.40	Professional		$367.91	$450.69	$2,844.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $133.19 / $176.03 / $930.32	Professional	26	$133.19	$176.03	$930.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $221.13 / $288.74 / $1,914.08	Professional	TC	$221.13	$288.74	$1,914.08
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,793.00	Facility		$525.00	$1,353.00	$2,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.89 / $430.05 / $786.62	Professional		$366.89	$430.05	$786.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $164.63 / $260.41	Professional	26	$132.09	$164.63	$260.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.04 / $265.42 / $511.39	Professional	TC	$220.04	$265.42	$511.39