Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.79 / $741.14 / $1,353.30	Facility		$188.79	$741.14	$1,353.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.51 / $33.85 / $50.24	Facility	26	$31.51	$33.85	$50.24
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $136.62 / $246.25 / $1,453.14	Facility	TC	$136.62	$246.25	$1,453.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $175.06 / $249.45	Professional		$168.12	$175.06	$249.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.51 / $32.17 / $49.79	Professional	26	$31.51	$32.17	$49.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.62 / $144.13 / $203.13	Professional	TC	$136.62	$144.13	$203.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $142.78 / $202.05	Professional		$129.32	$142.78	$202.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $30.01 / $36.01	Professional	26	$23.69	$30.01	$36.01
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 $33.26 / $179.55 / $246.55	Professional		$33.26	$179.55	$246.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.21 / $154.44 / $310.39	Facility		$147.21	$154.44	$310.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.81 / $42.81 / $51.12	Facility	26	$42.81	$42.81	$51.12
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $237.73 / $237.73 / $252.88	Facility	TC	$237.73	$237.73	$252.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $250.62 / $351.04	Professional		$187.51	$250.62	$351.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $44.73 / $54.57	Professional	26	$33.97	$44.73	$54.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.69 / $202.77 / $301.61	Professional	TC	$152.69	$202.77	$301.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $237.73 / $458.70	Facility		$168.13	$237.73	$458.70
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 $177.12 / $248.56 / $1,578.90	Professional		$177.12	$248.56	$1,578.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.77 / $41.21 / $889.65	Professional	26	$30.77	$41.21	$889.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.22 / $246.36 / $1,388.59	Professional	TC	$142.22	$246.36	$1,388.59
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $225.50 / $380.40	Professional		$169.02	$225.50	$380.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.06 / $37.14 / $63.41	Professional	26	$30.06	$37.14	$63.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.19 / $174.36 / $317.14	Professional	TC	$140.19	$174.36	$317.14