Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.70 / $666.94 / $1,112.97	Facility		$216.70	$666.94	$1,112.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.71 / $39.28 / $56.91	Facility	26	$35.71	$39.28	$56.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $132.43 / $219.64 / $1,323.88	Facility	TC	$132.43	$219.64	$1,323.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $220.67 / $300.08	Professional		$208.24	$220.67	$300.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $35.71 / $52.11	Professional	26	$30.05	$35.71	$52.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.58 / $184.21 / $245.25	Professional	TC	$178.58	$184.21	$245.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $165.40 / $247.94	Professional		$165.30	$165.40	$247.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.11 / $33.89 / $46.40	Professional	26	$27.11	$33.89	$46.40
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $223.93 / $223.93 / $223.93	Professional	TC	$223.93	$223.93	$223.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.02 / $409.64 / $593.36	Facility		$305.02	$409.64	$593.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $232.75 / $319.60	Professional		$37.10	$232.75	$319.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.21 / $203.05 / $371.56	Facility		$147.21	$203.05	$371.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.34 / $36.34 / $43.55	Facility	26	$36.34	$36.34	$43.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $304.41 / $304.41 / $328.01	Facility	TC	$304.41	$304.41	$328.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.27 / $313.87 / $425.31	Professional		$227.27	$313.87	$425.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $42.63 / $62.03	Professional	26	$31.31	$42.63	$62.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.81 / $271.25 / $383.68	Professional	TC	$199.81	$271.25	$383.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.47 / $253.77 / $509.63	Facility		$209.47	$253.77	$509.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $86.56 / $205.00 / $205.00	Facility	26	$86.56	$205.00	$205.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $399.93 / $906.68 / $906.68	Facility	TC	$399.93	$906.68	$906.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.86 / $313.87 / $1,952.19	Professional		$223.86	$313.87	$1,952.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.82 / $42.06 / $399.57	Professional	26	$31.82	$42.06	$399.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.27 / $317.52 / $1,791.16	Professional	TC	$190.27	$317.52	$1,791.16
United Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $279.70 / $463.91	Professional		$219.95	$279.70	$463.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.08 / $38.88 / $71.81	Professional	26	$31.08	$38.88	$71.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.52 / $235.89 / $406.92	Professional	TC	$181.52	$235.89	$406.92