Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.97 / $751.20 / $2,112.44	Facility		$242.97	$751.20	$2,112.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.25 / $47.43 / $84.48	Facility	26	$38.25	$47.43	$84.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $178.84 / $344.37 / $1,079.93	Facility	TC	$178.84	$344.37	$1,079.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.83 / $236.87 / $529.40	Professional		$199.83	$236.87	$529.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $40.28 / $84.49	Professional	26	$30.05	$40.28	$84.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.77 / $204.22 / $444.90	Professional	TC	$169.77	$204.22	$444.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $166.99 / $174.87	Professional		$166.99	$166.99	$174.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $28.13 / $39.04	Professional	26	$27.17	$28.13	$39.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $227.21 / $227.21 / $227.21	Professional	TC	$227.21	$227.21	$227.21
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 $353.59 / $353.59 / $353.59	Professional		$353.59	$353.59	$353.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.47 / $326.20 / $912.30	Facility		$284.47	$326.20	$912.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $355.17 / $469.17	Professional		$223.72	$355.17	$469.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $50.46 / $79.40	Professional	26	$35.72	$50.46	$79.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.35 / $319.17 / $407.76	Professional	TC	$195.35	$319.17	$407.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.54 / $321.30 / $608.80	Facility		$233.54	$321.30	$608.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.56 / $86.56 / $205.00	Facility	26	$86.56	$86.56	$205.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $399.93 / $399.93 / $906.68	Facility	TC	$399.93	$399.93	$906.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.76 / $385.25 / $1,952.19	Professional		$258.76	$385.25	$1,952.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.78 / $49.56 / $399.57	Professional	26	$34.78	$49.56	$399.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $218.70 / $340.19 / $1,791.16	Professional	TC	$218.70	$340.19	$1,791.16
United Facility/Professional Professional Modifier Low / Median / High Price $258.76 / $336.70 / $482.85	Professional		$258.76	$336.70	$482.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $44.07 / $70.26	Professional	26	$34.15	$44.07	$70.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.70 / $291.99 / $433.65	Professional	TC	$218.70	$291.99	$433.65