Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.85 / $241.06 / $1,349.92	Facility		$84.85	$241.06	$1,349.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.92 / $94.90 / $187.27	Facility	26	$68.92	$94.90	$187.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $165.80 / $238.43	Professional		$143.49	$165.80	$238.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $78.72 / $105.84	Professional	26	$48.86	$78.72	$105.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $69.58 / $73.97 / $86.41	Professional	52	$69.58	$73.97	$86.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.77 / $76.81 / $162.66	Professional	TC	$64.77	$76.81	$162.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.91 / $58.91 / $62.59	Professional	26	$58.91	$58.91	$62.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,905.00 / $5,205.29 / $8,669.43	Facility		$3,905.00	$5,205.29	$8,669.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $3,946.34 / $9,532.99	Facility		$120.86	$3,946.34	$9,532.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $238.87 / $819.44	Professional		$109.31	$238.87	$819.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.60 / $92.89 / $148.49	Professional	26	$48.60	$92.89	$148.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.29 / $130.27 / $723.00	Professional	TC	$67.29	$130.27	$723.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.87 / $266.89 / $711.14	Facility		$149.87	$266.89	$711.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $188.75 / $188.75 / $366.35	Facility	26	$188.75	$188.75	$366.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $377.24 / $3,102.49	Professional		$167.09	$377.24	$3,102.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.91 / $97.26 / $551.37	Professional	26	$55.91	$97.26	$551.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.70 / $321.33 / $2,808.09	Professional	TC	$77.70	$321.33	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $238.54 / $546.29	Professional		$164.65	$238.54	$546.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.91 / $89.32 / $150.31	Professional	26	$55.91	$89.32	$150.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $133.74 / $353.46	Professional	TC	$76.20	$133.74	$353.46