Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $106.43 / $382.56	Facility		$40.75	$106.43	$382.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $13.11 / $19.94	Facility	26	$10.77	$13.11	$19.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $35.07 / $42.48	Professional		$25.34	$35.07	$42.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.68 / $16.52	Professional	26	$9.41	$10.68	$16.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.72 / $33.11	Professional	TC	$19.76	$24.72	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $27.30 / $31.38	Professional		$27.30	$27.30	$31.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.95 / $11.42	Professional	26	$7.94	$7.95	$11.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $29.56 / $29.56	Professional	TC	$18.19	$29.56	$29.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $133.80 / $459.88	Facility		$97.84	$133.80	$459.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $53.48 / $53.48	Professional		$53.48	$53.48	$53.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.12 / $112.50 / $241.75	Facility		$46.12	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $43.76 / $65.15	Professional		$24.42	$43.76	$65.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $15.53 / $20.00	Professional	26	$8.92	$15.53	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $31.42 / $50.92	Professional	TC	$17.53	$31.42	$50.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $44.17 / $82.26	Facility		$35.07	$44.17	$82.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $25.22 / $100.00	Facility	26	$25.22	$25.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $41.02 / $236.90	Professional		$32.29	$41.02	$236.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.69 / $82.56	Professional	26	$10.19	$13.69	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $27.42 / $190.00	Professional	TC	$22.09	$27.42	$190.00
United Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
United Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $36.09 / $58.31	Professional		$32.29	$36.09	$58.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.71 / $22.03	Professional	26	$10.19	$12.71	$22.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $24.75 / $40.86	Professional	TC	$22.09	$24.75	$40.86