Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $245.47 / $602.56	Facility		$32.36	$245.47	$602.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $11.22 / $17.78	Facility	26	$8.91	$11.22	$17.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $74.13 / $309.03	Facility	TC	$19.50	$74.13	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $43.65	Professional		$17.78	$26.92	$43.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $32.36	Professional	26	$7.94	$8.91	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.98 / $27.54	Professional	TC	$10.00	$16.98	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $23.99	Professional		$16.98	$19.05	$23.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $6.92 / $13.49	Professional	26	$6.46	$6.92	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $13.18 / $19.50	Professional	TC	$12.02	$13.18	$19.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $186.21	Facility		$93.33	$117.49	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $107.15 / $128.82	Facility		$31.62	$107.15	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $51.29	Professional		$17.78	$27.54	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.48 / $19.05	Professional	26	$7.24	$11.48	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.22 / $34.67	Professional	TC	$10.00	$16.22	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $34.67 / $186.21	Facility		$24.55	$34.67	$186.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $70.79	Facility	26	$20.42	$20.42	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $36.31 / $36.31 / $416.87	Facility	TC	$36.31	$36.31	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $165.96	Professional		$19.95	$28.18	$165.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.22 / $54.95	Professional	26	$9.12	$11.22	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $109.65	Professional	TC	$10.96	$16.98	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $66.07 / $97.72	Facility		$10.72	$66.07	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $40.74	Professional		$19.95	$25.70	$40.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.77 / $15.14	Professional	26	$8.91	$9.77	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $15.85 / $26.30	Professional	TC	$10.72	$15.85	$26.30