Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $255.00 / $1,392.89	Facility		$45.09	$255.00	$1,392.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.70 / $18.35 / $30.88	Facility	26	$15.70	$18.35	$30.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $37.38 / $45.09	Professional		$30.91	$37.38	$45.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $14.02 / $19.37	Professional	26	$13.00	$14.02	$19.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.78 / $28.73	Professional	TC	$17.89	$23.78	$28.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $27.77 / $44.54	Professional		$27.41	$27.77	$44.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $14.26 / $16.12	Professional	26	$9.92	$14.26	$16.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.97 / $91.57	Facility		$16.60	$35.97	$91.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $39.38 / $39.38	Professional		$39.38	$39.38	$39.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $46.22 / $63.45	Professional		$28.73	$46.22	$63.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $18.30 / $26.00	Professional	26	$12.34	$18.30	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.82 / $40.33	Professional	TC	$16.22	$26.82	$40.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.38 / $45.60 / $59.81	Facility		$37.38	$45.60	$59.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.93 / $31.93 / $100.00	Facility	26	$31.93	$31.93	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $44.78 / $287.00	Professional		$35.27	$44.78	$287.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $18.54 / $204.67	Professional	26	$14.78	$18.54	$204.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $25.75 / $230.00	Professional	TC	$20.41	$25.75	$230.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $38.79 / $66.33	Professional		$35.27	$38.79	$66.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $16.54 / $26.91	Professional	26	$14.78	$16.54	$26.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $22.92 / $41.53	Professional	TC	$20.20	$22.92	$41.53