Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.84 / $258.54 / $999.00	Facility		$136.84	$258.54	$999.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.29 / $29.75 / $52.18	Facility	26	$27.29	$29.75	$52.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $141.38 / $258.54	Professional		$105.06	$141.38	$258.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $25.00 / $52.18	Professional	26	$22.74	$25.00	$52.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.12 / $106.95 / $206.36	Professional	TC	$87.12	$106.95	$206.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $17.30 / $24.32	Professional	26	$17.30	$17.30	$24.32
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 $176.19 / $176.19 / $176.19	Professional		$176.19	$176.19	$176.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $146.36 / $455.25	Facility		$125.15	$146.36	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $180.93 / $262.35	Professional		$111.21	$180.93	$262.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.07 / $33.82 / $44.63	Professional	26	$23.07	$33.82	$44.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.03 / $153.56 / $243.37	Professional	TC	$90.03	$153.56	$243.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.03 / $179.85 / $297.32	Facility		$114.03	$179.85	$297.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $53.90 / $104.46	Facility	26	$53.90	$53.90	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $194.04 / $1,013.21	Professional		$123.43	$194.04	$1,013.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $32.14 / $217.94	Professional	26	$25.26	$32.14	$217.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $167.83 / $889.85	Professional	TC	$98.17	$167.83	$889.85
United Facility/Professional Facility Modifier Low / Median / High Price $110.74 / $180.78 / $191.41	Facility		$110.74	$180.78	$191.41
United Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $166.15 / $256.07	Professional		$123.43	$166.15	$256.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $31.28 / $49.89	Professional	26	$25.02	$31.28	$49.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $127.10 / $218.60	Professional	TC	$98.17	$127.10	$218.60