Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.17 / $378.04 / $999.00	Facility		$209.17	$378.04	$999.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $52.51 / $84.64	Facility	26	$38.90	$52.51	$84.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $204.25 / $397.14	Professional		$162.22	$204.25	$397.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.25 / $37.40 / $84.64	Professional	26	$34.25	$37.40	$84.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.86 / $169.96 / $312.50	Professional	TC	$131.86	$169.96	$312.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $39.58 / $39.58	Professional	26	$28.62	$39.58	$39.58
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 $267.74 / $267.74 / $267.74	Professional		$267.74	$267.74	$267.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.61 / $322.89 / $912.30	Facility		$262.61	$322.89	$912.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $280.27 / $396.29	Professional		$172.90	$280.27	$396.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $51.94 / $69.18	Professional	26	$36.90	$51.94	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.01 / $221.75 / $349.19	Professional	TC	$137.01	$221.75	$349.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.78 / $273.99 / $456.71	Facility		$175.78	$273.99	$456.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $87.37 / $172.60	Facility	26	$87.37	$87.37	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $285.74 / $1,459.71	Professional		$192.00	$285.74	$1,459.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $50.75 / $361.59	Professional	26	$39.54	$50.75	$361.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.58 / $240.78 / $1,274.61	Professional	TC	$151.58	$240.78	$1,274.61
United Facility/Professional Facility Modifier Low / Median / High Price $289.60 / $289.60 / $289.60	Facility		$289.60	$289.60	$289.60
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $247.21 / $374.34	Professional		$192.00	$247.21	$374.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.21 / $50.03 / $98.69	Professional	26	$39.21	$50.03	$98.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.58 / $196.80 / $314.14	Professional	TC	$151.58	$196.80	$314.14