Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $177.83 / $489.78	Facility		$42.66	$177.83	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $12.30 / $23.44	Facility	26	$9.55	$12.30	$23.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $100.00 / $354.81	Facility	TC	$26.30	$100.00	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $83.18	Professional		$26.92	$38.90	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.30 / $43.65	Professional	26	$9.55	$12.30	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $53.70	Professional	TC	$18.20	$25.12	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $38.02	Professional		$20.89	$25.12	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.32 / $15.14	Professional	26	$7.59	$8.32	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $18.20 / $26.92	Professional	TC	$15.14	$18.20	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $144.54 / $213.80	Facility		$112.20	$144.54	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $107.15 / $128.82	Facility		$42.66	$107.15	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $66.07	Professional		$24.55	$39.81	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.80 / $22.91	Professional	26	$8.71	$13.80	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.30 / $45.71	Professional	TC	$16.98	$26.30	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $275.42	Facility		$31.62	$46.77	$275.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $70.79	Facility	26	$24.55	$24.55	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $48.98 / $281.84 / $363.08	Facility	TC	$48.98	$281.84	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $213.80	Professional		$30.20	$37.15	$213.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.49 / $66.07	Professional	26	$10.72	$13.49	$66.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.99 / $147.91	Professional	TC	$19.50	$23.99	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $66.07 / $97.72	Facility		$19.50	$66.07	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $53.70	Professional		$30.20	$33.11	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.75 / $18.20	Professional	26	$10.72	$11.75	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $21.88 / $35.48	Professional	TC	$18.62	$21.88	$35.48