Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $225.86 / $431.39	Facility		$43.14	$225.86	$431.39
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $8.07 / $13.09	Facility	26	$6.70	$8.07	$13.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.36 / $214.09 / $251.11	Facility	TC	$21.36	$214.09	$251.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $32.64 / $37.19	Professional		$23.25	$32.64	$37.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.02 / $10.62	Professional	26	$5.67	$8.02	$10.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.30 / $107.30 / $127.43	Professional	50	$107.30	$107.30	$127.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.63 / $16.97 / $18.60	Professional	52	$11.63	$16.97	$18.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $24.87 / $28.65	Professional	TC	$17.57	$24.87	$28.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $36.15 / $53.41	Professional		$25.57	$36.15	$53.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $7.78 / $11.68	Professional	26	$6.22	$7.78	$11.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.53 / $31.43 / $34.09	Professional	TC	$28.53	$31.43	$34.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $69.98 / $101.39	Facility		$51.61	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $33.60 / $46.14	Professional		$8.40	$33.60	$46.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $30.69 / $51.00	Facility		$28.29	$30.69	$51.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $7.79 / $12.79	Facility	26	$7.79	$7.79	$12.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $17.32 / $17.32 / $26.16	Facility	TC	$17.32	$17.32	$26.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $30.42 / $46.64	Professional		$25.18	$30.42	$46.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.25 / $12.56	Professional	26	$6.98	$8.25	$12.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $22.17 / $35.13	Professional	TC	$17.39	$22.17	$35.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $40.47 / $171.72	Facility		$27.68	$40.47	$171.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $37.50 / $127.16 / $161.69	Facility	TC	$37.50	$127.16	$161.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $36.71 / $237.03	Professional		$28.90	$36.71	$237.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.32 / $71.00	Professional	26	$7.67	$9.32	$71.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.35 / $25.37 / $183.85	Professional	TC	$20.35	$25.37	$183.85
United Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $176.10 / $198.11	Facility		$32.45	$176.10	$198.11
United Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $32.89 / $53.44	Professional		$27.46	$32.89	$53.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $8.56 / $13.65	Professional	26	$7.67	$8.56	$13.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $23.71 / $39.53	Professional	TC	$19.98	$23.71	$39.53