Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $1,148.15	Facility		$54.95	$117.49	$1,148.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $39.81 / $67.61	Facility	26	$31.62	$39.81	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $199.53	Professional		$48.98	$77.62	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $85.11	Professional	26	$26.92	$40.74	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $144.54	Professional	TC	$20.89	$30.90	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $66.07	Professional		$41.69	$48.98	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $38.02	Professional	26	$22.91	$29.51	$38.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	TC	$33.11	$33.11	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $125.89	Facility		$89.13	$114.82	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $281.84	Professional		$46.77	$85.11	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.31 / $58.88	Professional	26	$26.92	$36.31	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $223.87	Professional	TC	$21.88	$39.81	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $239.88	Facility		$56.23	$77.62	$239.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $263.03 / $263.03	Facility	26	$72.44	$263.03	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $169.82 / $954.99	Professional		$58.88	$169.82	$954.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $41.69 / $371.54	Professional	26	$32.36	$41.69	$371.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $138.04 / $758.58	Professional	TC	$25.70	$138.04	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $125.89	Facility		$29.51	$61.66	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $204.17	Professional		$58.88	$85.11	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $35.48 / $54.95	Professional	26	$32.36	$35.48	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $169.82	Professional	TC	$25.70	$36.31	$169.82