Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $224.88 / $468.08	Facility		$31.59	$224.88	$468.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $10.19 / $15.55	Facility	26	$8.41	$10.19	$15.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.12 / $39.14 / $334.10	Facility	TC	$22.12	$39.14	$334.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $27.37 / $35.74	Professional		$24.30	$27.37	$35.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $8.36 / $13.04	Professional	26	$7.82	$8.36	$13.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $19.03 / $26.20	Professional	TC	$16.35	$19.03	$26.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $46.07 / $46.07	Professional		$19.92	$46.07	$46.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $6.49 / $8.88	Professional	26	$6.18	$6.49	$8.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.32 / $22.32 / $22.32	Professional	TC	$22.32	$22.32	$22.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $126.37 / $401.11	Facility		$92.40	$126.37	$401.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $45.89 / $45.89	Professional		$45.89	$45.89	$45.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $136.11 / $455.25	Facility		$34.44	$136.11	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $37.94 / $54.72	Professional		$22.32	$37.94	$54.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $12.19 / $16.00	Professional	26	$7.51	$12.19	$16.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.57 / $25.84 / $39.39	Professional	TC	$14.57	$25.84	$39.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $34.72 / $59.41	Facility		$27.43	$34.72	$59.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $100.00	Facility	26	$19.60	$19.60	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $41.54 / $100.00 / $276.19	Facility	TC	$41.54	$100.00	$276.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $34.63 / $178.47	Professional		$26.67	$34.63	$178.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.81 / $77.59	Professional	26	$8.31	$10.81	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $23.82 / $163.00	Professional	TC	$18.36	$23.82	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $31.76 / $49.08	Professional		$26.67	$31.76	$49.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.85 / $14.90	Professional	26	$8.31	$9.85	$14.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $19.85 / $33.75	Professional	TC	$18.36	$19.85	$33.75