Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $91.20 / $436.52	Facility		$36.31	$91.20	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $10.23 / $18.62	Facility	26	$8.71	$10.23	$18.62
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $47.86 / $229.09	Facility	TC	$26.92	$47.86	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $56.23	Professional		$25.70	$36.31	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.55 / $19.50	Professional	26	$7.08	$9.55	$19.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $41.69	Professional	TC	$19.05	$23.99	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $30.20	Professional		$21.38	$23.44	$30.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.08 / $13.49	Professional	26	$6.17	$7.08	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $18.20 / $27.54	Professional	TC	$16.22	$18.20	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $190.55	Facility		$107.15	$134.90	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $194.98	Facility		$74.13	$107.15	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $63.10	Professional		$22.91	$38.02	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $18.20	Professional	26	$7.08	$10.96	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.18 / $48.98	Professional	TC	$17.38	$28.18	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $77.62	Facility		$30.90	$40.74	$77.62
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 $51.29 / $51.29 / $109.65	Facility	TC	$51.29	$51.29	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $208.93	Professional		$30.20	$38.02	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.72 / $83.18	Professional	26	$8.32	$10.72	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.92 / $177.83	Professional	TC	$20.89	$26.92	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $66.07 / $97.72	Facility		$21.88	$66.07	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $51.29	Professional		$29.51	$31.62	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.12 / $14.45	Professional	26	$8.32	$9.12	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $22.91 / $36.31	Professional	TC	$20.89	$22.91	$36.31