Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $181.97 / $426.58	Facility		$30.90	$181.97	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.55 / $16.60	Facility	26	$7.94	$9.55	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $64.57	Professional		$21.38	$32.36	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $25.70	Professional	26	$7.94	$10.72	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $40.74	Professional	TC	$18.20	$24.55	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $53.70	Professional		$22.91	$28.18	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $16.98	Professional	26	$8.13	$10.72	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $26.30 / $31.62	Professional	TC	$16.60	$26.30	$31.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $102.33	Facility		$51.29	$75.86	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $33.88 / $46.77	Professional		$10.96	$33.88	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $112.20	Facility		$26.30	$26.30	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $16.22	Facility	26	$10.00	$10.00	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $60.26	Professional		$25.12	$33.11	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.72 / $18.20	Professional	26	$8.71	$10.72	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.38 / $38.90	Professional	TC	$15.85	$21.38	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.65 / $204.17	Facility		$28.18	$43.65	$204.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $100.00 / $100.00	Facility	26	$25.12	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $234.42	Professional		$29.51	$38.90	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.75 / $83.18	Professional	26	$9.77	$11.75	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $190.55	Professional	TC	$18.62	$24.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $67.61 / $213.80	Facility		$19.95	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $51.29	Professional		$28.18	$34.67	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.96 / $16.22	Professional	26	$9.55	$10.96	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.44 / $33.88	Professional	TC	$18.62	$23.44	$33.88