Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $151.36 / $436.52	Facility		$39.81	$151.36	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $10.00 / $17.38	Facility	26	$6.92	$10.00	$17.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $45.71 / $234.42	Facility	TC	$26.92	$45.71	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $30.90 / $53.70	Professional		$12.30	$30.90	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $25.12	Professional	26	$7.08	$9.12	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $38.02	Professional	TC	$17.78	$23.99	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $35.48	Professional		$19.95	$23.99	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $6.31 / $10.72	Professional	26	$5.75	$6.31	$10.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.99 / $28.18	Professional	TC	$17.38	$23.99	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $131.83 / $181.97	Facility		$102.33	$131.83	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
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 $22.39 / $38.02 / $63.10	Professional		$22.39	$38.02	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.47 / $17.78	Professional	26	$6.76	$10.47	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $48.98	Professional	TC	$17.38	$28.84	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $79.43	Facility		$30.90	$42.66	$79.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $100.00	Facility	26	$18.20	$18.20	$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 $29.51 / $38.02 / $204.17	Professional		$29.51	$38.02	$204.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $74.13	Professional	26	$8.32	$10.47	$74.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.92 / $177.83	Professional	TC	$20.42	$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 / $8.91 / $14.13	Professional	26	$8.32	$8.91	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $22.91 / $37.15	Professional	TC	$20.42	$22.91	$37.15