Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $363.08 / $2,541.32	Facility		$144.69	$363.08	$2,541.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.63 / $30.25 / $48.22	Facility	26	$25.63	$30.25	$48.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $163.31 / $281.64	Professional		$124.58	$163.31	$281.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $23.55 / $48.22	Professional	26	$20.98	$23.55	$48.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $59.20 / $77.23 / $140.82	Professional	52	$59.20	$77.23	$140.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.23 / $135.35 / $233.42	Professional	TC	$103.23	$135.35	$233.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $96.12	Professional		$91.54	$91.54	$96.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $22.13 / $22.13	Professional	26	$15.39	$22.13	$22.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $456.72 / $761.25	Facility		$344.00	$456.72	$761.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.91 / $200.91 / $200.91	Professional		$200.91	$200.91	$200.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.13 / $207.95 / $513.27	Facility		$184.13	$207.95	$513.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $195.43 / $299.00	Professional		$117.71	$195.43	$299.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $31.69 / $57.00	Professional	26	$21.08	$31.69	$57.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.67 / $163.27 / $242.00	Professional	TC	$103.67	$163.27	$242.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $220.27 / $323.89	Facility		$124.58	$220.27	$323.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.94 / $48.94 / $176.87	Facility	26	$48.94	$48.94	$176.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $213.88 / $1,173.20	Professional		$134.97	$213.88	$1,173.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $31.24 / $310.41	Professional	26	$22.74	$31.24	$310.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $112.24 / $187.24 / $1,048.79	Professional	TC	$112.24	$187.24	$1,048.79
United Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.92 / $289.82	Professional		$134.97	$184.92	$289.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $28.56 / $55.45	Professional	26	$22.74	$28.56	$55.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.24 / $170.17 / $254.57	Professional	TC	$112.24	$170.17	$254.57