Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $223.05 / $502.17	Facility		$44.73	$223.05	$502.17
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $9.56 / $16.75	Facility	26	$8.08	$9.56	$16.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.69 / $108.47 / $434.84	Facility	TC	$29.69	$108.47	$434.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $33.50 / $56.85	Professional		$13.91	$33.50	$56.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.17 / $17.37	Professional	26	$7.33	$9.17	$17.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.80 / $69.34 / $69.34	Professional	50	$48.80	$69.34	$69.34
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.97 / $16.75 / $19.63	Professional	52	$15.97	$16.75	$19.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $24.72 / $43.25	Professional	TC	$21.32	$24.72	$43.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $26.86 / $55.81	Professional		$24.14	$26.86	$55.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.95 / $5.98 / $8.53	Professional	26	$5.95	$5.98	$8.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $43.47 / $43.47 / $43.47	Professional	50	$43.47	$43.47	$43.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $25.13 / $29.56	Professional	TC	$19.10	$25.13	$29.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.51 / $134.72 / $433.62	Facility		$98.51	$134.72	$433.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $49.98	Professional		$49.98	$49.98	$49.98
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 $22.74 / $41.07 / $60.89	Professional		$22.74	$41.07	$60.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $11.59 / $19.00	Professional	26	$6.69	$11.59	$19.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $31.29 / $50.92	Professional	TC	$18.26	$31.29	$50.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $40.44 / $76.06	Facility		$32.49	$40.44	$76.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.97 / $18.97 / $100.00	Facility	26	$18.97	$18.97	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $118.08 / $369.60	Facility	TC	$55.06	$118.08	$369.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $37.56 / $221.82	Professional		$29.96	$37.56	$221.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.39 / $71.00	Professional	26	$8.31	$10.39	$71.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $26.99 / $170.86	Professional	TC	$21.65	$26.99	$170.86
United Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $173.16 / $177.49	Facility		$84.95	$173.16	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $33.07 / $54.02	Professional		$29.17	$33.07	$54.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.52 / $14.55	Professional	26	$8.31	$9.52	$14.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $24.52 / $40.04	Professional	TC	$21.65	$24.52	$40.04