Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $187.85 / $456.47	Facility		$40.69	$187.85	$456.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.44 / $12.40 / $22.19	Facility	26	$10.44	$12.40	$22.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.29 / $191.07 / $320.76	Facility	TC	$26.29	$191.07	$320.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $36.15 / $53.67	Professional		$27.58	$36.15	$53.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $10.52 / $18.11	Professional	26	$9.66	$10.52	$18.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $22.58 / $38.88	Professional	TC	$18.36	$22.58	$38.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $24.02 / $50.19	Professional		$24.02	$24.02	$50.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $7.79 / $11.58	Professional	26	$7.71	$7.79	$11.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $22.54 / $26.52	Professional	TC	$16.32	$22.54	$26.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $150.77 / $514.79	Facility		$110.24	$150.77	$514.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $45.86 / $45.86	Professional		$45.86	$45.86	$45.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $109.68 / $196.61	Facility		$40.86	$109.68	$196.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $42.44 / $59.88	Professional		$24.52	$42.44	$59.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $15.22 / $19.39	Professional	26	$8.63	$15.22	$19.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.96 / $28.34 / $45.14	Professional	TC	$15.96	$28.34	$45.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $44.51 / $227.78	Facility		$31.95	$44.51	$227.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $24.59 / $70.00	Facility	26	$24.59	$24.59	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $281.00 / $360.38	Facility	TC	$49.38	$281.00	$360.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $37.49 / $215.20	Professional		$31.86	$37.49	$215.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $13.39 / $66.04	Professional	26	$11.17	$13.39	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $24.21 / $149.15	Professional	TC	$20.14	$24.21	$149.15
United Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $33.20 / $56.44	Professional		$30.50	$33.20	$56.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $11.71 / $21.07	Professional	26	$11.13	$11.71	$21.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $22.34 / $40.78	Professional	TC	$20.14	$22.34	$40.78