Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.56 / $754.01 / $2,473.21	Facility		$227.56	$754.01	$2,473.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.04 / $46.00 / $74.95	Facility	26	$34.04	$46.00	$74.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $170.08 / $363.46 / $1,865.20	Facility	TC	$170.08	$363.46	$1,865.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.37 / $240.78 / $415.26	Professional		$183.37	$240.78	$415.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $40.59 / $74.95	Professional	26	$31.07	$40.59	$74.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.63 / $186.80 / $340.30	Professional	TC	$150.63	$186.80	$340.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $130.59 / $301.99	Professional		$130.59	$130.59	$301.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $24.55 / $34.11	Professional	26	$23.74	$24.55	$34.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $106.86 / $113.54 / $173.64	Professional	TC	$106.86	$113.54	$173.64
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 $257.19 / $257.19 / $257.19	Professional		$257.19	$257.19	$257.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $322.89 / $912.30	Facility		$272.66	$322.89	$912.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.02 / $284.08 / $369.97	Professional		$179.02	$284.08	$369.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.94 / $49.23 / $70.45	Professional	26	$31.94	$49.23	$70.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.40 / $239.79 / $306.26	Professional	TC	$147.40	$239.79	$306.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $282.47 / $477.55	Facility		$183.37	$282.47	$477.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $75.65 / $75.65 / $212.00	Facility	26	$75.65	$75.65	$212.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $305.67 / $305.67 / $691.80	Facility	TC	$305.67	$305.67	$691.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $308.81 / $1,578.90	Professional		$198.85	$308.81	$1,578.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $47.35 / $889.65	Professional	26	$35.36	$47.35	$889.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $163.47 / $262.45 / $1,388.59	Professional	TC	$163.47	$262.45	$1,388.59
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $270.37 / $464.26	Professional		$198.85	$270.37	$464.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $43.75 / $70.95	Professional	26	$35.36	$43.75	$70.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.47 / $228.93 / $334.79	Professional	TC	$163.47	$228.93	$334.79