Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.78 / $400.25 / $1,010.70	Facility		$193.78	$400.25	$1,010.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.13 / $43.40 / $72.64	Facility	26	$33.13	$43.40	$72.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $138.02 / $593.00	Professional		$113.82	$138.02	$593.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $22.57 / $117.00	Professional	26	$18.44	$22.57	$117.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.53 / $106.95 / $224.20	Professional	TC	$95.53	$106.95	$224.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $123.44 / $187.84	Professional		$104.62	$123.44	$187.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $19.38 / $41.64	Professional	26	$17.07	$19.38	$41.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.02 / $556.39 / $974.94	Facility		$149.02	$556.39	$974.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $132.53 / $165.66	Professional		$99.40	$132.53	$165.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $22.39 / $27.99	Professional	26	$16.79	$22.39	$27.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.60 / $110.14 / $137.66	Professional	TC	$82.60	$110.14	$137.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.43 / $273.56 / $332.91	Facility		$224.43	$273.56	$332.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.35 / $26.35 / $26.35	Facility	26	$26.35	$26.35	$26.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $201.63 / $322.41	Professional		$140.08	$201.63	$322.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $25.88 / $52.51	Professional	26	$18.82	$25.88	$52.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.73 / $174.56 / $273.80	Professional	TC	$117.73	$174.56	$273.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.02 / $166.99 / $288.30	Facility		$120.02	$166.99	$288.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $52.93 / $161.00 / $161.00	Facility	26	$52.93	$161.00	$161.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $208.70 / $1,223.39	Professional		$135.68	$208.70	$1,223.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.22 / $237.75	Professional	26	$19.05	$26.22	$237.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $115.31 / $186.19 / $1,114.63	Professional	TC	$115.31	$186.19	$1,114.63
United Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $190.80 / $327.57	Professional		$131.44	$190.80	$327.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $24.84 / $43.99	Professional	26	$18.80	$24.84	$43.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.60 / $164.85 / $274.27	Professional	TC	$113.60	$164.85	$274.27