Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $99.78 / $253.33	Facility		$40.25	$99.78	$253.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $14.14 / $19.91	Facility	26	$9.94	$14.14	$19.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.79 / $47.78 / $147.97	Facility	TC	$30.79	$47.78	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $35.13 / $48.58	Professional		$33.50	$35.13	$48.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $9.94 / $13.48	Professional	26	$8.42	$9.94	$13.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $26.45 / $34.45	Professional	TC	$22.87	$26.45	$34.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $6.52 / $9.26	Professional	26	$6.44	$6.52	$9.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $142.75 / $210.50	Facility		$104.64	$142.75	$210.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $57.58	Professional		$57.58	$57.58	$57.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $136.11 / $455.25	Facility		$47.87	$136.11	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $48.38 / $63.85	Professional		$25.91	$48.38	$63.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.50 / $21.84	Professional	26	$9.27	$13.50	$21.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $35.40 / $52.88	Professional	TC	$19.63	$35.40	$52.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $47.71 / $89.51	Facility		$35.72	$47.71	$89.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $20.47 / $100.00	Facility	26	$20.47	$20.47	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $57.91 / $57.91 / $124.11	Facility	TC	$57.91	$57.91	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $43.98 / $230.47	Professional		$35.25	$43.98	$230.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.26 / $77.59	Professional	26	$10.47	$14.26	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $29.50 / $214.00	Professional	TC	$24.29	$29.50	$214.00
United Facility/Professional Facility Modifier Low / Median / High Price $98.91 / $119.26 / $197.97	Facility		$98.91	$119.26	$197.97
United Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $37.47 / $58.82	Professional		$35.24	$37.47	$58.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $11.81 / $19.91	Professional	26	$9.94	$11.81	$19.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $26.39 / $43.55	Professional	TC	$24.29	$26.39	$43.55