Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $436.14 / $1,063.94	Facility		$98.06	$436.14	$1,063.94
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.12 / $37.29 / $58.38	Facility	26	$31.12	$37.29	$58.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $97.72 / $143.38	Professional		$89.74	$97.72	$143.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $32.00 / $49.85	Professional	26	$30.74	$32.00	$49.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.99 / $65.09 / $99.56	Professional	TC	$58.99	$65.09	$99.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $107.54 / $115.02	Professional		$107.54	$107.54	$115.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $29.34 / $48.07	Professional	26	$28.25	$29.34	$48.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $86.85 / $86.85 / $86.85	Professional	TC	$86.85	$86.85	$86.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $246.40 / $356.94	Facility		$190.55	$246.40	$356.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $113.40 / $155.71	Professional		$38.50	$113.40	$155.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $93.97 / $171.30	Facility		$78.56	$93.97	$171.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.06 / $37.06 / $60.02	Facility	26	$37.06	$37.06	$60.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $111.03 / $179.20	Professional		$97.30	$111.03	$179.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.96 / $38.36 / $58.28	Professional	26	$31.96	$38.36	$58.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.47 / $75.76 / $122.16	Professional	TC	$63.47	$75.76	$122.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $153.44 / $295.00	Facility		$94.23	$153.44	$295.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $172.60 / $172.60	Facility	26	$90.38	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $145.49 / $760.68	Professional		$111.60	$145.49	$760.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $43.95 / $303.79	Professional	26	$36.42	$43.95	$303.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.53 / $102.96 / $518.02	Professional	TC	$72.53	$102.96	$518.02
United Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $131.49 / $191.94	Professional		$106.45	$131.49	$191.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.59 / $42.53 / $62.64	Professional	26	$35.59	$42.53	$62.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.86 / $87.54 / $125.06	Professional	TC	$70.86	$87.54	$125.06