Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.46 / $506.00 / $1,066.67	Facility		$181.46	$506.00	$1,066.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.31 / $31.91 / $51.45	Facility	26	$23.31	$31.91	$51.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $127.43 / $281.94	Professional		$101.57	$127.43	$281.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $27.79 / $51.45	Professional	26	$20.48	$27.79	$51.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.94 / $117.20 / $230.50	Professional	TC	$101.94	$117.20	$230.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $100.19 / $215.97	Professional		$100.19	$100.19	$215.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $16.84 / $23.78	Professional	26	$16.55	$16.84	$23.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $124.88 / $124.88 / $124.88	Professional	TC	$124.88	$124.88	$124.88
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 $243.03 / $243.03 / $243.03	Professional		$243.03	$243.03	$243.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $146.36 / $455.25	Facility		$125.15	$146.36	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.53 / $209.95 / $282.00	Professional		$131.53	$209.95	$282.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $33.34 / $48.59	Professional	26	$22.42	$33.34	$48.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.92 / $185.97 / $244.00	Professional	TC	$115.92	$185.97	$244.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $183.45 / $324.23	Facility		$124.35	$183.45	$324.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $52.93 / $52.93 / $161.00	Facility	26	$52.93	$52.93	$161.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $237.38 / $1,223.39	Professional		$153.02	$237.38	$1,223.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $31.27 / $237.75	Professional	26	$23.88	$31.27	$237.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $128.12 / $211.18 / $1,114.63	Professional	TC	$128.12	$211.18	$1,114.63
United Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $199.51 / $311.10	Professional		$153.02	$199.51	$311.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.66 / $28.29 / $44.85	Professional	26	$23.66	$28.29	$44.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.12 / $179.68 / $277.58	Professional	TC	$128.12	$179.68	$277.58