Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.14 / $275.70 / $447.85	Facility		$245.14	$275.70	$447.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.77 / $44.66 / $74.31	Facility	26	$34.77	$44.66	$74.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $127.87 / $223.86	Professional		$107.01	$127.87	$223.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $20.81 / $32.14	Professional	26	$11.65	$20.81	$32.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.88 / $109.01 / $189.87	Professional	TC	$92.88	$109.01	$189.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $123.20 / $191.65	Professional		$123.20	$123.20	$191.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.02 / $256.73 / $256.73	Facility		$151.02	$256.73	$256.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $132.74 / $153.78	Professional		$116.14	$132.74	$153.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $22.60 / $26.27	Professional	26	$19.78	$22.60	$26.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.37 / $110.14 / $128.03	Professional	TC	$96.37	$110.14	$128.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.83 / $273.56 / $365.94	Facility		$259.83	$273.56	$365.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $196.47 / $334.08	Professional		$143.52	$196.47	$334.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $24.14 / $50.30	Professional	26	$12.42	$24.14	$50.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.61 / $176.42 / $280.97	Professional	TC	$120.61	$176.42	$280.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.34 / $150.26 / $282.08	Facility		$118.34	$150.26	$282.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $102.96 / $102.96	Facility	26	$52.72	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $204.37 / $1,197.25	Professional		$142.59	$204.37	$1,197.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $23.58 / $198.13	Professional	26	$11.88	$23.58	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $120.90 / $187.68 / $1,126.14	Professional	TC	$120.90	$187.68	$1,126.14
United Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $185.68 / $300.61	Professional		$138.30	$185.68	$300.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $22.72 / $39.64	Professional	26	$11.84	$22.72	$39.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.76 / $169.99 / $269.56	Professional	TC	$117.76	$169.99	$269.56