Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.83 / $487.42 / $1,236.59	Facility		$242.83	$487.42	$1,236.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.34 / $103.35 / $120.39	Facility	26	$56.34	$103.35	$120.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $204.21 / $859.00	Professional		$162.94	$204.21	$859.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $36.04 / $83.65	Professional	26	$30.82	$36.04	$83.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.26 / $167.34 / $330.03	Professional	TC	$128.26	$167.34	$330.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $169.73 / $237.62	Professional		$152.76	$169.73	$237.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $28.98 / $28.98	Professional	26	$28.98	$28.98	$28.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.14 / $762.23 / $1,270.13	Facility		$194.14	$762.23	$1,270.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $179.84 / $224.80	Professional		$134.88	$179.84	$224.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $37.86 / $47.34	Professional	26	$28.40	$37.86	$47.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.48 / $141.97 / $177.46	Professional	TC	$106.48	$141.97	$177.46
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 $43.31 / $43.31 / $43.31	Facility	26	$43.31	$43.31	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $256.42 / $404.27	Professional		$177.04	$256.42	$404.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.02 / $42.63 / $85.11	Professional	26	$32.02	$42.63	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.85 / $205.96 / $322.74	Professional	TC	$139.85	$205.96	$322.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.94 / $211.33 / $401.38	Facility		$162.94	$211.33	$401.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $172.60 / $172.60	Facility	26	$87.37	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $255.36 / $1,459.71	Professional		$175.56	$255.36	$1,459.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.21 / $42.56 / $361.59	Professional	26	$32.21	$42.56	$361.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.60 / $217.19 / $1,274.61	Professional	TC	$138.60	$217.19	$1,274.61
United Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $236.61 / $377.34	Professional		$167.24	$236.61	$377.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.35 / $40.32 / $72.76	Professional	26	$31.35	$40.32	$72.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.28 / $195.47 / $324.33	Professional	TC	$130.28	$195.47	$324.33