Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $229.09 / $489.78	Facility		$33.88	$229.09	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $9.12 / $15.85	Facility	26	$7.24	$9.12	$15.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $45.71 / $288.40	Facility	TC	$24.55	$45.71	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $29.51 / $61.66	Professional		$9.33	$29.51	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.00 / $26.92	Professional	26	$6.76	$10.00	$26.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $141.25 / $144.54	Professional	50	$141.25	$141.25	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $37.15	Professional	TC	$16.98	$22.91	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $27.54	Professional		$17.78	$20.89	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $6.17 / $9.77	Professional	26	$5.62	$6.17	$9.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $21.38 / $24.55	Professional	TC	$18.20	$21.38	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $165.96	Facility		$93.33	$117.49	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $194.98	Facility		$66.07	$107.15	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $57.54	Professional		$20.89	$35.48	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.23 / $17.78	Professional	26	$6.46	$10.23	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.70 / $43.65	Professional	TC	$15.85	$25.70	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $70.79	Facility		$28.18	$38.02	$70.79
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 $45.71 / $100.00 / $331.13	Facility	TC	$45.71	$100.00	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $186.21	Professional		$26.92	$35.48	$186.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $64.57	Professional	26	$7.59	$10.23	$64.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.99 / $162.18	Professional	TC	$19.50	$23.99	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $97.72	Facility		$19.05	$66.07	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $46.77	Professional		$26.92	$29.51	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.71 / $13.80	Professional	26	$7.59	$8.71	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $20.42 / $33.11	Professional	TC	$19.50	$20.42	$33.11