Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $198.60 / $502.19	Facility		$40.15	$198.60	$502.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $9.96 / $14.91	Facility	26	$8.07	$9.96	$14.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.69 / $81.30 / $269.36	Facility	TC	$29.69	$81.30	$269.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $32.47 / $54.56	Professional		$14.89	$32.47	$54.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $9.14 / $15.24	Professional	26	$7.74	$9.14	$15.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.95 / $16.73 / $19.61	Professional	52	$15.95	$16.73	$19.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $24.72 / $41.52	Professional	TC	$19.46	$24.72	$41.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $25.26 / $55.76	Professional		$24.11	$25.26	$55.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $6.11 / $8.51	Professional	26	$5.92	$6.11	$8.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $29.56 / $29.56	Professional	TC	$19.32	$29.56	$29.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $107.79 / $456.37	Facility		$78.81	$107.79	$456.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $49.46 / $49.46	Professional		$49.46	$49.46	$49.46
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 $22.81 / $40.89 / $60.86	Professional		$22.81	$40.89	$60.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $12.41 / $16.00	Professional	26	$7.21	$12.41	$16.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $30.31 / $50.92	Professional	TC	$16.87	$30.31	$50.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $39.50 / $72.20	Facility		$32.47	$39.50	$72.20
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 $55.06 / $118.08 / $477.76	Facility	TC	$55.06	$118.08	$477.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $38.08 / $219.71	Professional		$28.13	$38.08	$219.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.39 / $67.70	Professional	26	$8.31	$10.39	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $27.78 / $168.70	Professional	TC	$19.82	$27.78	$168.70
United Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $97.52 / $177.49	Facility		$84.95	$97.52	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $33.92 / $57.66	Professional		$28.13	$33.92	$57.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.84 / $16.30	Professional	26	$8.31	$9.84	$16.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $24.96 / $40.40	Professional	TC	$19.82	$24.96	$40.40