Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $201.60 / $423.41	Facility		$44.91	$201.60	$423.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $13.11 / $19.94	Facility	26	$10.77	$13.11	$19.94
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.65 / $57.71 / $366.30	Facility	TC	$32.65	$57.71	$366.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $39.14 / $52.57	Professional		$35.10	$39.14	$52.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.26 / $17.39	Professional	26	$10.02	$12.26	$17.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $28.14 / $38.09	Professional	TC	$24.97	$28.14	$38.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $40.61 / $65.31	Professional		$28.24	$40.61	$65.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.95 / $11.42	Professional	26	$7.94	$7.95	$11.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $32.99 / $42.70	Professional	TC	$20.30	$32.99	$42.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.86 / $159.82 / $546.53	Facility		$116.86	$159.82	$546.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $55.22 / $55.22	Professional		$55.22	$55.22	$55.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $112.50 / $241.75	Facility		$50.79	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $47.26 / $70.42	Professional		$26.35	$47.26	$70.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $15.53 / $20.00	Professional	26	$9.59	$15.53	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $35.29 / $56.11	Professional	TC	$19.85	$35.29	$56.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $48.71 / $84.97	Facility		$38.40	$48.71	$84.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $25.22 / $100.00	Facility	26	$25.22	$25.22	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $61.48 / $131.69	Facility	TC	$61.48	$61.48	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $44.84 / $254.22	Professional		$35.58	$44.84	$254.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.69 / $90.81	Professional	26	$10.19	$13.69	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $30.68 / $195.00	Professional	TC	$25.38	$30.68	$195.00
United Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $173.16 / $177.49	Facility		$84.95	$173.16	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $39.64 / $65.65	Professional		$35.58	$39.64	$65.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.71 / $22.62	Professional	26	$10.19	$12.71	$22.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $27.92 / $50.13	Professional	TC	$25.38	$27.92	$50.13