Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $83.18 / $389.05	Facility		$47.86	$83.18	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $17.38 / $25.70	Facility	26	$12.02	$17.38	$25.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $57.54 / $302.00	Facility	TC	$34.67	$57.54	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $95.50	Professional		$33.11	$42.66	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $35.48	Professional	26	$8.91	$12.02	$35.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $38.02 / $147.91	Professional	50	$38.02	$38.02	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $51.29	Professional	TC	$23.99	$32.36	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $54.95	Professional		$27.54	$29.51	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.32 / $14.13	Professional	26	$7.94	$8.32	$14.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $22.91 / $40.74	Professional	TC	$19.50	$22.91	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Facility		$125.89	$131.83	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $128.82 / $239.88	Facility		$56.23	$128.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $81.28	Professional		$30.20	$50.12	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.45 / $23.44	Professional	26	$9.12	$14.45	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $60.26	Professional	TC	$22.39	$37.15	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $104.71	Facility		$38.90	$53.70	$104.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $70.79	Facility	26	$25.12	$25.12	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $64.57 / $64.57 / $138.04	Facility	TC	$64.57	$64.57	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $263.03	Professional		$38.02	$46.77	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.80 / $67.61	Professional	26	$10.96	$13.80	$67.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.11 / $194.98	Professional	TC	$27.54	$33.11	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $79.43 / $141.25	Facility		$27.54	$79.43	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $64.57	Professional		$38.02	$40.74	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.30 / $19.05	Professional	26	$10.96	$12.30	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $28.84 / $45.71	Professional	TC	$26.92	$28.84	$45.71