Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $69.17 / $1,238.51	Facility		$35.49	$69.17	$1,238.51
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $25.94 / $50.28	Facility	26	$15.32	$25.94	$50.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $39.67 / $97.80	Professional		$30.91	$39.67	$97.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $14.58 / $74.00	Professional	26	$13.00	$14.58	$74.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.94 / $43.74	Professional	TC	$17.89	$23.94	$43.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $27.29 / $38.21	Professional		$23.65	$27.29	$38.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $11.52 / $20.43	Professional	26	$9.59	$11.52	$20.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $44.90 / $79.83	Facility		$11.22	$44.90	$79.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $33.06 / $40.04	Professional		$24.79	$33.06	$40.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $10.61 / $14.30	Professional	26	$7.96	$10.61	$14.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $22.45 / $28.06	Professional	TC	$16.84	$22.45	$28.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $66.59 / $84.24	Facility		$42.87	$66.59	$84.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $41.00 / $67.38	Professional		$32.29	$41.00	$67.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $16.89 / $25.78	Professional	26	$11.85	$16.89	$25.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $24.33 / $38.69	Professional	TC	$18.23	$24.33	$38.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $43.64 / $72.83	Facility		$35.92	$43.64	$72.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.93 / $100.00 / $100.00	Facility	26	$31.93	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $39.19 / $287.00	Professional		$32.70	$39.19	$287.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $15.87 / $204.67	Professional	26	$14.43	$15.87	$204.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $22.93 / $230.00	Professional	TC	$18.43	$22.93	$230.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $37.17 / $67.68	Professional		$32.70	$37.17	$67.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $15.10 / $27.14	Professional	26	$14.23	$15.10	$27.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $22.37 / $34.60	Professional	TC	$18.23	$22.37	$34.60