Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.95 / $258.74 / $608.24	Facility		$42.95	$258.74	$608.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.08 / $11.02 / $18.80	Facility	26	$9.08	$11.02	$18.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.94 / $102.96 / $484.50	Facility	TC	$28.94	$102.96	$484.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $32.82 / $48.59	Professional		$10.30	$32.82	$48.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $10.30 / $22.76	Professional	26	$8.56	$10.30	$22.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.52 / $66.52 / $66.52	Professional	50	$66.52	$66.52	$66.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $24.09 / $40.47	Professional	TC	$19.14	$24.09	$40.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $25.86 / $56.96	Professional		$24.63	$25.86	$56.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $6.88 / $9.59	Professional	26	$6.67	$6.88	$9.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $29.19 / $29.19	Professional	TC	$19.07	$29.19	$29.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $140.31 / $490.33	Facility		$102.60	$140.31	$490.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $48.21 / $48.21	Professional		$48.21	$48.21	$48.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $112.50 / $241.75	Facility		$44.95	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $43.17 / $62.10	Professional		$24.63	$43.17	$62.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $13.07 / $16.87	Professional	26	$8.11	$13.07	$16.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $30.70 / $49.66	Professional	TC	$17.14	$30.70	$49.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.82 / $41.03 / $80.17	Facility		$32.82	$41.03	$80.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $21.10 / $100.00	Facility	26	$21.10	$21.10	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $54.35 / $116.58 / $360.19	Facility	TC	$54.35	$116.58	$360.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $38.83 / $221.82	Professional		$30.05	$38.83	$221.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.27 / $89.16	Professional	26	$8.69	$11.27	$89.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $26.89 / $177.00	Professional	TC	$21.36	$26.89	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $33.56 / $55.59	Professional		$30.05	$33.56	$55.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $10.68 / $16.12	Professional	26	$8.69	$10.68	$16.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.98 / $23.53 / $39.51	Professional	TC	$20.98	$23.53	$39.51