Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $132.12 / $505.33	Facility		$35.59	$132.12	$505.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $9.51 / $18.30	Facility	26	$8.07	$9.51	$18.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.06 / $43.80 / $327.20	Facility	TC	$26.06	$43.80	$327.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.58 / $56.05	Professional		$24.92	$30.58	$56.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.00 / $13.89	Professional	26	$7.03	$8.00	$13.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.30 / $41.30 / $41.30	Professional	50	$41.30	$41.30	$41.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.89 / $15.29 / $17.91	Professional	52	$13.89	$15.29	$17.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.58 / $40.29	Professional	TC	$17.89	$22.58	$40.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $51.43 / $51.43	Professional		$22.24	$51.43	$51.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $5.95 / $9.25	Professional	26	$5.92	$5.95	$9.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $104.07 / $454.76	Facility		$76.09	$104.07	$454.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $42.92 / $42.92	Professional		$42.92	$42.92	$42.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $136.11 / $455.25	Facility		$40.86	$136.11	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $36.96 / $56.18	Professional		$20.99	$36.96	$56.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $11.58 / $15.00	Professional	26	$6.71	$11.58	$15.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.80 / $28.00 / $45.14	Professional	TC	$15.80	$28.00	$45.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.66 / $36.08 / $65.98	Facility		$29.66	$36.08	$65.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $18.72 / $100.00	Facility	26	$18.72	$18.72	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $49.38 / $105.96	Facility	TC	$49.38	$49.38	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $34.56 / $200.17	Professional		$26.65	$34.56	$200.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $10.26 / $61.09	Professional	26	$7.56	$10.26	$61.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $24.47 / $154.00	Professional	TC	$19.09	$24.47	$154.00
United Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $209.50 / $214.74	Facility		$114.42	$209.50	$214.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $30.68 / $52.16	Professional		$26.65	$30.68	$52.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $8.81 / $14.14	Professional	26	$7.56	$8.81	$14.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $22.02 / $37.43	Professional	TC	$19.09	$22.02	$37.43