Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.81 / $1,424.91 / $3,281.60	Facility		$326.81	$1,424.91	$3,281.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.89 / $117.17 / $493.92	Facility	26	$83.89	$117.17	$493.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $254.66 / $369.27	Professional		$173.88	$254.66	$369.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.16 / $80.64 / $137.97	Professional	26	$63.16	$80.64	$137.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.03 / $183.15 / $228.01	Professional	TC	$149.03	$183.15	$228.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $139.10 / $226.04	Professional		$139.10	$139.10	$226.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $50.53 / $95.04	Professional	26	$50.40	$50.53	$95.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $88.57 / $88.57 / $127.32	Professional	TC	$88.57	$88.57	$127.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $1,455.56 / $2,811.97	Facility		$1,098.00	$1,455.56	$2,811.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.77 / $457.77 / $457.77	Professional		$457.77	$457.77	$457.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.96 / $1,193.60 / $3,927.00	Facility		$544.96	$1,193.60	$3,927.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.77 / $303.70 / $842.00	Professional		$194.77	$303.70	$842.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.64 / $98.75 / $244.00	Professional	26	$68.64	$98.75	$244.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.36 / $210.98 / $598.00	Professional	TC	$126.36	$210.98	$598.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.67 / $346.82 / $610.95	Facility		$229.67	$346.82	$610.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.72 / $160.72 / $305.79	Facility	26	$160.72	$160.72	$305.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $330.32 / $3,949.29	Professional		$211.49	$330.32	$3,949.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.06 / $105.44 / $433.24	Professional	26	$75.06	$105.44	$433.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $234.88 / $1,005.74	Professional	TC	$136.41	$234.88	$1,005.74
United Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $311.74 / $452.76	Professional		$211.49	$311.74	$452.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.81 / $93.63 / $133.30	Professional	26	$72.81	$93.63	$133.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.15 / $188.41 / $289.72	Professional	TC	$135.15	$188.41	$289.72