Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $149.52 / $455.16	Facility		$40.96	$149.52	$455.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $13.87 / $21.39	Facility	26	$10.96	$13.87	$21.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $30.91 / $43.87	Professional		$29.84	$30.91	$43.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $11.42 / $21.06	Professional	26	$10.82	$11.42	$21.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.02 / $19.25 / $25.85	Professional	TC	$19.02	$19.25	$25.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $14.39 / $16.93	Professional	26	$10.66	$14.39	$16.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $75.78 / $109.77	Facility		$56.42	$75.78	$109.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $35.70 / $49.02	Professional		$13.95	$35.70	$49.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $30.25 / $43.18	Facility		$30.25	$30.25	$43.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $22.56	Facility	26	$14.13	$14.13	$22.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $32.42 / $49.57	Professional		$26.87	$32.42	$49.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $13.91 / $20.36	Professional	26	$11.91	$13.91	$20.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $18.82 / $31.36	Professional	TC	$14.49	$18.82	$31.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $40.59 / $63.72	Facility		$29.84	$40.59	$63.72
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 $32.22 / $40.31 / $287.00	Professional		$32.22	$40.31	$287.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.26 / $204.67	Professional	26	$12.88	$16.26	$204.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.49 / $230.00	Professional	TC	$16.98	$23.49	$230.00
United Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $97.22 / $97.22	Facility		$97.22	$97.22	$97.22
United Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $37.61 / $60.84	Professional		$29.74	$37.61	$60.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $15.97 / $23.01	Professional	26	$12.58	$15.97	$23.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $22.37 / $38.07	Professional	TC	$16.96	$22.37	$38.07