Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,348.96 / $3,467.37	Facility		$323.59	$1,348.96	$3,467.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $117.49 / $467.74	Facility	26	$75.86	$117.49	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $724.44	Professional		$181.97	$302.00	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $74.13 / $190.55	Professional	26	$61.66	$74.13	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $173.78 / $354.81	Professional	TC	$117.49	$173.78	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $251.19	Professional		$134.90	$151.36	$251.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $91.20	Professional	26	$51.29	$66.07	$91.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $100.00 / $263.03	Professional	TC	$89.13	$100.00	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,344.23	Facility		$1,096.48	$1,445.44	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $3,890.45	Facility		$691.83	$1,445.44	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $562.34	Professional		$190.55	$302.00	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $186.21	Professional	26	$69.18	$95.50	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $213.80 / $407.38	Professional	TC	$128.82	$213.80	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $616.60	Facility		$229.09	$338.84	$616.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $309.03	Facility	26	$162.18	$162.18	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $3,981.07	Professional		$204.17	$331.13	$3,981.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $436.52	Professional	26	$70.79	$100.00	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $229.09 / $1,000.00	Professional	TC	$131.83	$229.09	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $190.55 / $1,023.29	Facility		$63.10	$190.55	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $398.11	Professional		$204.17	$288.40	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $89.13 / $123.03	Professional	26	$69.18	$89.13	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $288.40	Professional	TC	$131.83	$190.55	$288.40