Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $123.13 / $386.17	Facility		$37.29	$123.13	$386.17
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.76 / $11.87 / $20.32	Facility	26	$9.76	$11.87	$20.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.06 / $43.96 / $290.87	Facility	TC	$26.06	$43.96	$290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $36.32 / $45.72	Professional		$30.73	$36.32	$45.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $11.10 / $15.77	Professional	26	$9.39	$11.10	$15.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $23.80 / $30.47	Professional	TC	$21.01	$23.80	$30.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $54.35 / $54.35	Professional		$23.51	$54.35	$54.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $7.21 / $10.34	Professional	26	$7.19	$7.21	$10.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $16.32 / $22.54	Professional	TC	$16.32	$16.32	$22.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $133.80 / $544.04	Facility		$97.84	$133.80	$544.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $54.22 / $54.22	Professional		$54.22	$54.22	$54.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $136.11 / $455.25	Facility		$40.86	$136.11	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $43.96 / $58.79	Professional		$23.50	$43.96	$58.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $14.23 / $19.46	Professional	26	$8.92	$14.23	$19.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $32.39 / $45.14	Professional	TC	$18.19	$32.39	$45.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $44.80 / $73.29	Facility		$32.54	$44.80	$73.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.84 / $22.84 / $100.00	Facility	26	$22.84	$22.84	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $105.96 / $281.00	Facility	TC	$49.38	$105.96	$281.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $42.11 / $218.00	Professional		$32.04	$42.11	$218.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.52 / $87.52	Professional	26	$10.19	$13.52	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $27.99 / $206.00	Professional	TC	$21.40	$27.99	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $35.28 / $54.60	Professional		$31.43	$35.28	$54.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $11.51 / $18.87	Professional	26	$10.19	$11.51	$18.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $23.92 / $36.65	Professional	TC	$20.78	$23.92	$36.65