Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $142.80 / $425.18	Facility		$32.40	$142.80	$425.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $9.16 / $16.94	Facility	26	$7.41	$9.16	$16.94
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.45 / $41.79 / $242.22	Facility	TC	$23.45	$41.79	$242.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $27.67 / $41.06	Professional		$24.48	$27.67	$41.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $8.41 / $14.11	Professional	26	$6.71	$8.41	$14.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.40 / $35.40 / $35.40	Professional	50	$35.40	$35.40	$35.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.17 / $13.84 / $16.78	Professional	52	$13.17	$13.84	$16.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $20.32 / $35.40	Professional	TC	$17.89	$20.32	$35.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $21.09 / $46.55	Professional		$20.13	$21.09	$46.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $5.62 / $10.71	Professional	26	$5.45	$5.62	$10.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $15.59 / $15.59	Professional	TC	$15.59	$15.59	$15.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $94.78 / $394.16	Facility		$69.30	$94.78	$394.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $44.61 / $44.61	Professional		$44.61	$44.61	$44.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $112.50 / $241.75	Facility		$36.78	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $35.99 / $50.91	Professional		$19.18	$35.99	$50.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $10.60 / $13.79	Professional	26	$6.13	$10.60	$13.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.19 / $26.46 / $40.63	Professional	TC	$15.19	$26.46	$40.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $34.69 / $60.10	Facility		$27.43	$34.69	$60.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.46 / $17.46 / $100.00	Facility	26	$17.46	$17.46	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $44.39 / $44.39 / $100.00	Facility	TC	$44.39	$44.39	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $32.40 / $180.63	Professional		$26.29	$32.40	$180.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $9.78 / $67.70	Professional	26	$7.57	$9.78	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $22.58 / $154.00	Professional	TC	$18.72	$22.58	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $28.92 / $47.86	Professional		$26.29	$28.92	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $8.69 / $13.33	Professional	26	$7.57	$8.69	$13.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $20.59 / $32.77	Professional	TC	$18.72	$20.59	$32.77