Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $223.87 / $489.78	Facility		$32.36	$223.87	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $10.47 / $18.62	Facility	26	$7.41	$10.47	$18.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $38.90 / $281.84	Facility	TC	$21.88	$38.90	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $50.12	Professional		$22.91	$31.62	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $20.89	Professional	26	$7.08	$8.91	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $33.11	Professional	TC	$15.14	$20.89	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $32.36	Professional		$17.38	$21.38	$32.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.41 / $11.75	Professional	26	$6.17	$7.41	$11.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $18.20 / $26.92	Professional	TC	$13.80	$18.20	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $177.83	Facility		$95.50	$131.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $128.82 / $239.88	Facility		$60.26	$128.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $54.95	Professional		$22.39	$35.48	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $18.20	Professional	26	$7.08	$11.22	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.12 / $53.70	Professional	TC	$14.45	$25.12	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $83.18	Facility		$26.92	$37.15	$83.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $100.00	Facility	26	$19.50	$19.50	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $41.69 / $100.00 / $275.42	Facility	TC	$41.69	$100.00	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $177.83	Professional		$26.92	$34.67	$177.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.72 / $77.62	Professional	26	$8.32	$10.72	$77.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.44 / $162.18	Professional	TC	$18.20	$23.44	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $79.43 / $117.49	Facility		$19.05	$79.43	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $45.71	Professional		$26.92	$28.84	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.55 / $14.79	Professional	26	$8.32	$9.55	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $19.95 / $31.62	Professional	TC	$17.78	$19.95	$31.62