Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.88 / $580.48 / $1,473.60	Facility		$212.88	$580.48	$1,473.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $62.21 / $105.65	Facility	26	$32.36	$62.21	$105.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $152.07 / $292.33 / $898.91	Facility	TC	$152.07	$292.33	$898.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $214.07 / $869.00	Professional		$167.67	$214.07	$869.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.65 / $36.15 / $170.10	Professional	26	$30.65	$36.15	$170.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.25 / $169.96 / $401.78	Professional	TC	$138.25	$169.96	$401.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $160.69 / $244.52	Professional		$139.72	$160.69	$244.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.59 / $30.65 / $59.62	Professional	26	$27.59	$30.65	$59.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $115.21 / $115.21 / $115.21	Professional	TC	$115.21	$115.21	$115.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $681.25 / $1,255.92	Facility		$171.01	$681.25	$1,255.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $185.14 / $231.43	Professional		$138.86	$185.14	$231.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $32.11 / $40.14	Professional	26	$24.08	$32.11	$40.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.77 / $153.03 / $191.29	Professional	TC	$114.77	$153.03	$191.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.22 / $607.07 / $717.25	Facility		$500.22	$607.07	$717.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.51 / $37.51 / $37.51	Facility	26	$37.51	$37.51	$37.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $172.98 / $172.98 / $172.98	Facility	TC	$172.98	$172.98	$172.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $264.89 / $417.97	Professional		$184.89	$264.89	$417.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $40.47 / $74.67	Professional	26	$31.50	$40.47	$74.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.25 / $220.76 / $345.78	Professional	TC	$152.25	$220.76	$345.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.67 / $237.39 / $418.81	Facility		$167.67	$237.39	$418.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $75.65 / $212.00 / $212.00	Facility	26	$75.65	$212.00	$212.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $305.67 / $691.80 / $691.80	Facility	TC	$305.67	$691.80	$691.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $271.60 / $1,578.90	Professional		$178.97	$271.60	$1,578.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $40.33 / $889.65	Professional	26	$30.69	$40.33	$889.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.13 / $233.80 / $1,388.59	Professional	TC	$147.13	$233.80	$1,388.59
United Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $245.44 / $398.84	Professional		$171.71	$245.44	$398.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $37.24 / $70.56	Professional	26	$30.39	$37.24	$70.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.38 / $210.16 / $345.98	Professional	TC	$142.38	$210.16	$345.98