Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,304.00 / $5,506.00	Facility		$1,162.00	$2,304.00	$5,506.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.89 / $36.89 / $36.89	Facility	26	$36.89	$36.89	$36.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $217.78 / $696.00	Professional		$152.68	$217.78	$696.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $43.81 / $121.62	Professional	26	$36.90	$43.81	$121.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.87 / $118.96 / $220.72	Professional	TC	$108.87	$118.96	$220.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $141.69 / $141.69	Professional		$141.69	$141.69	$141.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $302.10 / $497.23	Facility		$80.75	$302.10	$497.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $137.53 / $171.91	Professional		$103.15	$137.53	$171.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.17 / $32.22 / $40.29	Professional	26	$24.17	$32.22	$40.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.97 / $105.30 / $131.62	Professional	TC	$78.97	$105.30	$131.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $213.15 / $303.79	Professional		$149.18	$213.15	$303.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.34 / $51.09 / $88.33	Professional	26	$37.34	$51.09	$88.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.43 / $155.71 / $234.62	Professional	TC	$101.43	$155.71	$234.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.43 / $244.02 / $1,689.00	Facility		$157.43	$244.02	$1,689.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.77 / $181.86 / $181.86	Facility	26	$101.77	$181.86	$181.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $194.22 / $1,531.99	Professional		$122.24	$194.22	$1,531.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.09 / $49.73 / $907.84	Professional	26	$38.09	$49.73	$907.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.51 / $143.19 / $1,117.24	Professional	TC	$80.51	$143.19	$1,117.24
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $170.57 / $356.15	Professional		$119.79	$170.57	$356.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.96 / $45.24 / $80.62	Professional	26	$35.96	$45.24	$80.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.51 / $127.65 / $266.54	Professional	TC	$80.51	$127.65	$266.54