Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $1,254.14 / $3,394.53	Facility		$172.10	$1,254.14	$3,394.53
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.89 / $59.21 / $91.18	Facility	26	$56.89	$59.21	$91.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $201.59 / $371.45	Professional		$156.46	$201.59	$371.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.89 / $64.81 / $117.17	Professional	26	$56.89	$64.81	$117.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.56 / $112.69 / $192.63	Professional	TC	$99.56	$112.69	$192.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $203.46 / $203.46	Professional		$203.46	$203.46	$203.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.91 / $75.91 / $75.91	Professional	26	$75.91	$75.91	$75.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.18 / $585.78 / $848.51	Facility		$436.18	$585.78	$848.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $189.70 / $260.49	Professional		$68.59	$189.70	$260.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.99 / $414.60 / $1,982.89	Facility		$300.99	$414.60	$1,982.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.03 / $88.03 / $106.32	Facility	26	$88.03	$88.03	$106.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $274.80 / $351.85	Professional		$200.01	$274.80	$351.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.95 / $94.90 / $111.40	Professional	26	$68.95	$94.90	$111.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.91 / $181.44 / $246.39	Professional	TC	$127.91	$181.44	$246.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.02 / $287.83 / $945.63	Facility		$158.02	$287.83	$945.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.72 / $305.79 / $305.79	Facility	26	$160.72	$305.79	$305.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $252.57 / $3,949.29	Professional		$184.00	$252.57	$3,949.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $85.58 / $433.24	Professional	26	$63.81	$85.58	$433.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $118.69 / $188.33 / $1,005.74	Professional	TC	$118.69	$188.33	$1,005.74
United Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $239.77 / $393.27	Professional		$179.77	$239.77	$393.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.31 / $77.31 / $118.84	Professional	26	$62.31	$77.31	$118.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.96 / $158.49 / $271.50	Professional	TC	$115.96	$158.49	$271.50