Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.00 / $3,506.00 / $10,439.00	Facility		$1,361.00	$3,506.00	$10,439.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.31 / $54.31 / $63.91	Facility	26	$54.31	$54.31	$63.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $217.78 / $306.20	Professional		$140.13	$217.78	$306.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $45.26 / $67.94	Professional	26	$41.96	$45.26	$67.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $172.52 / $242.29	Professional	TC	$98.17	$172.52	$242.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $41.27 / $41.27	Professional	26	$41.27	$41.27	$41.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $210.97 / $210.97	Professional		$179.32	$210.97	$210.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.12 / $213.41 / $427.00	Professional		$148.12	$213.41	$427.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.54 / $62.92 / $135.00	Professional	26	$38.54	$62.92	$135.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.10 / $142.08 / $292.00	Professional	TC	$103.10	$142.08	$292.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $245.78 / $1,087.00	Facility		$55.00	$245.78	$1,087.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.77 / $101.77 / $101.77	Facility	26	$101.77	$101.77	$101.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $238.95 / $1,531.99	Professional		$161.99	$238.95	$1,531.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $65.50 / $907.84	Professional	26	$42.17	$65.50	$907.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $119.40 / $178.50 / $1,117.24	Professional	TC	$119.40	$178.50	$1,117.24
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $210.87 / $346.84	Professional		$160.69	$210.87	$346.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.40 / $52.06 / $89.84	Professional	26	$41.40	$52.06	$89.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.06 / $154.88 / $255.47	Professional	TC	$112.06	$154.88	$255.47