Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $249.90 / $505.73	Facility		$45.88	$249.90	$505.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $12.77 / $17.39	Facility	26	$10.77	$12.77	$17.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.10 / $99.84 / $410.76	Facility	TC	$33.10	$99.84	$410.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $39.06 / $53.15	Professional		$31.71	$39.06	$53.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.26 / $18.54	Professional	26	$10.02	$12.26	$18.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $28.39 / $38.59	Professional	TC	$25.38	$28.39	$38.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $29.51 / $65.31	Professional		$28.24	$29.51	$65.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.16 / $11.42	Professional	26	$7.94	$8.16	$11.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $32.99 / $32.99	Professional	TC	$20.30	$32.99	$32.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.73 / $174.69 / $632.09	Facility		$127.73	$174.69	$632.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $57.94 / $57.94	Professional		$57.94	$57.94	$57.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $136.11 / $455.25	Facility		$51.38	$136.11	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $51.51 / $71.01	Professional		$28.81	$51.51	$71.01
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 $20.93 / $37.31 / $56.72	Professional	TC	$20.93	$37.31	$56.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $51.05 / $91.26	Facility		$39.42	$51.05	$91.26
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 $37.40 / $44.84 / $256.38	Professional		$37.40	$44.84	$256.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.52 / $82.56	Professional	26	$10.19	$13.52	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $31.31 / $211.00	Professional	TC	$26.48	$31.31	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $42.44 / $65.65	Professional		$37.36	$42.44	$65.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.37 / $19.21	Professional	26	$10.19	$12.37	$19.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $28.11 / $45.41	Professional	TC	$25.96	$28.11	$45.41